This is VAERS ID 275509
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| VAERS ID: | 275509 (history) | Vaccinated: | 0000-00-00 | | Age: | 13.0 | Onset: | 0000-00-00 | | Gender: | Female | Submitted: | 2007-04-02 | | Location: | Unknown | Entered: | 2007-04-03, Days after submission: 1 | |
| Life Threatening? Yes |
| Died? No |
| Permanent Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: Unknown | | Current Illness: | | Preexisting Conditions: Unknown | | Diagnostic Lab Data: electrocardiogram - prolonged Q-T, total heartbeat count over | | CDC 'Split Type': WAES0703USA04642 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | PPV: PNEUMO (PNEUMOVAX) | MERCK & CO. INC. | | 0 | IM | | |
| Administered by: Public Purchased by: Other | Symptoms: Electrocardiogram QT prolonged,
Heart rate increased,
Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Torsade de pointes, shock-associated conditions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
| | Write-up: Information has been received from a nurse practitioner concerning a 13 year old female who on an unspecified date was vaccinated with first dose, single dose vial, of Gardasil (lot # not reported) IM injection. On an unspecified date, within 10 minutes of receiving the vaccination, the patient passed out. The patient''s heart rate was over 200. The patient passed out a total of three times. Medical attention was sought. The patient was hospitalized as a result of the experience. At the time of reporting, the patient had prolonged Q-T and was being seen by a cardiologist for the condition. The outcome of the events was unknown. The reporter considered the events to be immediately life-threatening. Additional information has been requested. |
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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275509
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