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This is VAERS ID 274578

Case Details

VAERS ID: 274578 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:89
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Sensation of heaviness, Sensory disturbance, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (narrow), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03998

Write-up: Information has been received from a nursing supervisor concerning a female (age not reported) who on an unspecified date was vaccinated with HPV. Subsequently, the patient reported that her "arm felt dead". At the time of this report, the outcome of the event was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Initial and follow up information has been received from a nursing supervisor concerning an 18 year old female who at 11:30am, on 14-DEC-2006 was vaccinated in the left deltoid with the first dose of GARDASIL (Lot # 654389/0961F). Subsequently, the patient reported she felt it go all down her arm during the vaccination, and stated her "arm felt heavy all day long" (previously reported as "felt dead"). In follow up information, the nurse reported that, as the patient was leaving the facility she fainted and "was out for a few seconds". The nurse took the patient''s vital signs and gave her juice, and reported "she was fine". The outcome of the events was unknown. It was unknown if the patient recovered from feeling the vaccine go down her arm and the feeling of arm heaviness. Additional information is not expected.

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