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This is VAERS ID 274134

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 274134 (history)  
Form: Version .0  
Age:   
Gender: Female  
Location: Connecticut  
Vaccinated:2007-02-05
Onset:2007-02-05
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:36
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -
MNC: MENINGOCOCCAL CONJUGATE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / -

Administered by: Other       Purchased by: Unknown
Symptoms: Deafness, Dizziness, Injection site pain, Sudden hearing loss
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hearing impairment (narrow), Vestibular disorders (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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type:

Write-up: Information has been received from a registered nurse, via a company representative, concerning a female who on 05-FEB-2007 was vaccinated with a dose of Gardasil (yeast) in one arm and possibly a meningococcal vaccine (unspecified) in the other arm. Subs"equently the patient felt faint, experienced a temporary loss of hearing, and also experienced pain from the injection. The nurse indicated that the patient''''s /"fair hair (red or blonde) made them more susceptible to the adverse events./" The patient was


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