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This is VAERS ID 276244

Case Details

VAERS ID: 276244 (history)  
Gender: Unknown  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:57
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN, PROTONIX, PAXIL
Current Illness: Contraception
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04318

Write-up: Information has been received from a certified medical assistant concerning a patient with contraception who on 07-FEB-2007 was vaccinated with second dose of Gardasil (Lot#655503/0012U). Concomitant therapy included YASMIN, PAXIL and PROTONIX. On 07-FEB-2007, the patient experienced fainted (patient outcome not provided). Additional information has been requested. The same source also provided information regarding other patients'' experiences (WAES#0703USA01200 and WAES#0703USA04319).

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