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This is VAERS ID 273722

Case Details

VAERS ID: 273722 (history)  
Age: 22.0  
Gender: Female  
Location: Arizona  
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 / 0 - / 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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tricycline Lo
Current Illness: NONE
Preexisting Conditions:
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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