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This is VAERS ID 273390

Case Details

VAERS ID: 273390 (history)  
Age: 16.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2006-12-21
Onset:2006-12-21
   Days after vaccination:0
Submitted: 2007-02-27
   Days after onset:68
Entered: 2007-03-05
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Pallor
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mom states patient was fine right after shot #1, but felt faint, looked pale on way out of office - came back to exam room and laid down x 20 minutes then was fine. Mom reports this today when returning for shot #2.


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