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This is VAERS ID 273722

Case Details

VAERS ID: 273722 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Arizona  
Vaccinated:2007-01-29
Onset:0000-00-00
Submitted: 2007-02-27
Entered: 2007-03-09
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Fatigue, Hypotrichosis, Loss of consciousness, Malaise, Night sweats
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: Tricycline Lo
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1 hour after injection, pt passed out in class x 15 seconds. Felt "sick and exhausted" rest of the day. Coordination was off. Has experienced night sweats since injection and feels hair is thinning.


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