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This is VAERS ID 274638

Case Details

VAERS ID: 274638 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-01-11
Onset:2007-01-16
   Days after vaccination:5
Submitted: 2007-03-23
   Days after onset:65
Entered: 2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Herpes zoster, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (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: Seasonale(OCP), Novalog 1unit/20gm carbs, Lantus 9units @HS, Zoloft 100mg
Current Illness: Viral pharyngitis and ear pain at time of injection. T 98.7
Preexisting Conditions: IDDM onset 6-2005, Celiac Sprue 7-2006
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient states awoke during night with trembling, dizziness, vomiting x''s 1 approx 5 days after injection#1. Pt with IDDM, BS elevated at that time. Episode lasted approx two hours. Also with similar complaints after Injection #2, will report as separate event. Of note, pt diagnosed with Shingles on 3-5-07.


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