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This is VAERS ID 272599

Case Details

VAERS ID: 272599 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: South Dakota  
Vaccinated:2007-01-29
Onset:2007-01-29
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:16
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 2 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Dizziness, Impaired driving ability, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, ORTHO TRI-CYCLEN, ADVAIR
Current Illness: Penicillin allergy
Preexisting Conditions: Ovarian cyst, Asthma
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0701USA04931

Write-up: This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a healthcare provider concerning her 20 year old daughter who was a student with a penicillin allergy who on 29-JAN-2007, at 08:10, was vaccinated intramuscularly into the left deltoid with a second dose of GARDASIL (Lot # 655617/1447F). Concomitant therapy included Ortho Tri Cyclen, albuterol and Advair. On 29-JAN-2007 at 13:00 ("later in the day") the patient was driving and developed dizziness ("very dizzy") and nausea which lasted about 4 hours. She could no longer drive so the passenger took over driving. No laboratory diagnostic studies were performed. On 29-JAN-2007 the patient recovered. A first dose of GARDASIL was given IM on 22-NOV-2006. Additional information is not expected.


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