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This is VAERS ID 274087

Case Details

VAERS ID: 274087 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Ohio  
   Days after vaccination:0
Submitted: 2007-03-12
   Days after onset:6
Entered: 2007-03-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Anxiety, Computerised tomogram, Confusional state, Dyspnoea, Electrocardiogram, Erythema, Fall, Full blood count, Loss of consciousness, Neck injury, Scan brain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Yaz birth control
Current Illness:
Preexisting Conditions: Abnormal uterine bleeding, irregular menstruation, Menorrhagia, Pelvic pain.
Diagnostic Lab Data: In emergency room CT head, brain, CT neck soft tissue, BMP, CBC, EKG.
CDC Split Type:

Write-up: Syncope episode at checkout window 4 min after Gardasil vaccine given. Upon forward fall, pt sustained blow to anterior aspect of neck on our counter top. Unconscious for approx 30-60 sec, then alert but confused as to what happened for about 1 min. Labored breathing and anxiety approx 4-5 min then relaxed. Red raised mark on soft tissue of anterior neck. Remained in supine position with neck neutral at still. EMS here within 10 min. To ER pre EMS with cervical collar and neck immobilizer on.

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