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This is VAERS ID 276245

Case Details

VAERS ID: 276245 (history)  
Age:   
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-06
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other       Purchased by: Other
Symptoms: Presyncope, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04319

Write-up: Information has been received from a certified medical assistant concerning three patients who were vaccinated with Gardasil. Subsequently, the patients were closed to fainting or fainted (patient outcomes not provided). Attempts are being made obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. The same source provided information concerning the experienced of other patients (WAES#0703USA01200 and WAES#0703USA04318).


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