This is VAERS ID 276244

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID:	276244 (history)
Form:	Version 1.0
Age:
Gender:	Unknown
Location:	Unknown

Vaccinated:	2007-02-07
Onset:	2007-02-07
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 / 2	- / -

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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN, PROTONIX, PAXIL
Current Illness: Contraception
Preexisting Conditions:
Allergies:
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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