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This is VAERS ID 274329

Case Details

VAERS ID: 274329 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: California  
   Days after vaccination:26
Submitted: 2007-03-14
   Days after onset:71
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 2 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Flushing, Hyperhidrosis, Injection site pain, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Allergic reaction to antibiotics.
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03842

Write-up: Information has been received from a health professional concerning a 22 year old female with allergy to CECLOR who on 06-DEC-2006 was vaccinated with a second dose of Gardasil (lot #655619/1427F), in the left deltoid. There was no concomitant medication. on 01-JAN-2007 the patient experienced "faint, sweaty, flushed, nauseated and pain (site). Additional information has been requested.

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