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This is VAERS ID 276352

Case Details

VAERS ID: 276352 (history)  
Age: 16.0  
Gender: Female  
Location: New Hampshire  
Vaccinated:2007-04-09
Onset:2007-04-09
   Days after vaccination:0
Submitted: 2007-04-16
   Days after onset:7
Entered: 2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2221AA / 0 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Blood pressure orthostatic, Dizziness, Fall, Feeling hot, Haemoglobin, Head injury, Heart rate, Posture abnormal, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control "patch", Albuterol Inhaler prn
Current Illness: none
Preexisting Conditions: Asthma, Dysmenorrhea, Migraines-Acne
Diagnostic Lab Data: Orthostatic vital signs done; stable
CDC Split Type: NH0717

Write-up: Patient had lab work done 1st (hemoglobin), then received vaccines-Gardasil and Menactra left exam room, walked into waiting room and told mother she felt "hot and dizzy"; "fell over, hit head, eyes remained and open, head arched back, arms shaking. "Episode over within 1-2 minutes.


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