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This is VAERS ID 274788

Case Details

VAERS ID: 274788 (history)  
Age: 18.0  
Gender: Female  
Location: California  
Vaccinated:2007-03-15
Onset:2007-03-15
   Days after vaccination:0
Submitted: 2007-03-15
   Days after onset:0
Entered: 2007-03-26
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 02002AC / 0 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Blood pressure decreased, Fall, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: After getting 1 Menactra vaccine to her Left deltoid and 2 HPV vaccines to her Right deltoid. Patient fainted and fell down to the floor, nonconscious. Approx 2 min she became alert and her Blood pressure 90/60. 911 was called and she was brought to hospital in stable condition.


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