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This is VAERS ID 274631

Case Details

VAERS ID: 274631 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-03-22
Onset:2007-03-22
   Days after vaccination:0
Submitted: 2007-03-23
   Days after onset:1
Entered: 2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthotricyclen-lo
Current Illness: none T 98.1, patient was seen on 03-14-2007 for viral pharyngitis
Preexisting Conditions: no allergies, dysmenorrhea, H. Pylori 4-2006, mono 4-2006,
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient had complaints of lightheadedness/dizziness approx. 5-10 minutes after injection. Lasted for approx. 5 minutes. Patient was seated, cold cloth applied to neck and wrists, given water to drink. s/s resolved with intervention and seating. Patient with no other complaints.


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