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This is VAERS ID 276118

Case Details

VAERS ID: 276118 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Illinois  
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:52
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Blood pressure fluctuation, Blood pressure orthostatic, Decreased appetite, Dehydration, Dizziness, Headache, Pain, Pain in extremity, Somnolence, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: diagnostic procedure 02/15?/07 - "orthostatic test"
CDC Split Type: WAES0703USA00347

Write-up: Information has been received from a consumer concerning her 14 year old daughter who on 12-FEB-2007 was vaccinated with Gardasil (lot # not reported) 0.5 ml IM. There was no concomitant medication. On 12-FEB-2007 the patient experienced her arm hurting really bad after getting the injection and she developed a headache. Three days after the injection, on 15-FEB-2007, the patient experienced fainting, dizziness, headaches, "dehydrating", not eating, everything kind of hurts, and she only wanted to sleep. Her blood pressure was not steady and was all over the place. Medical attention was sought. Orthostatic test was performed. At the time of reporting, the patient had not recovered. Additional information has been requested.

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