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This is VAERS ID 274134

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 274134 (history)  
Form: Version .0  
Sex: Female  
Location: Connecticut  
   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 / -

Administered by: Other       Purchased by: Other
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
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA00994

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. Subsequently 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 observed in the office and after a short time recovered and left. Additional information has been requested.

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