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This is VAERS ID 274560

Case Details

VAERS ID: 274560 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-22
Entered: 2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1920AA / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Disturbance in attention, Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (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: No~ ()~NULL~~In Patient|No~ ()~NULL~~In Sibling1|No~ ()~NULL~~In Sibling2
Other Medications: No
Current Illness: On menses. No known illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt reported that approximately 24hrs after receiving the vaccinations she had a headache, dizziness. Went home, took shower, slept through the night. The next day she didn''t remember much of the previous day. Feels she continues to have trouble absorbing subjects at school. Feels she is gradually getting better.


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