National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274837

Case Details

VAERS ID: 274837 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Virginia  
Vaccinated:2007-03-26
Onset:2007-03-26
   Days after vaccination:0
Submitted: 2007-03-26
   Days after onset:0
Entered: 2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. M 0688F / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR SP 2631AA / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Hyperhidrosis, Pallor, Presyncope
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypotonic-hyporesponsive episode (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: NONE
Current Illness: NONE
Preexisting Conditions: MIGRAINES
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: BECAME DIAPHOETIC AND VERY PALE. NEAR SYNCOPE


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274837


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166