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This is VAERS ID 272821

Case Details

VAERS ID: 272821 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: California  
Vaccinated:2007-02-05
Onset:2007-02-06
   Days after vaccination:1
Submitted: 2007-02-06
   Days after onset:0
Entered: 2007-02-21
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Nausea, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: came in for lump on stomach, was hit while playing basketball
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Pt received Gardasil on Feb 5 2007 in pm. She went home the next day she woke up 6:00 am with dizziness, legs shaking, nauseated, feeling faint lasting 3 days unable to go to school. The fourth day she felt better.


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