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This is VAERS ID 276803

Case Details

VAERS ID: 276803 (history)  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-01
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type: WAES0703USA03428

Write-up: Information has been received from a nurse practitioner concerning her 14 year old daughter with no reported medical history who in February 2007, was vaccinated with the first dose of Gardasil intramuscularly. There was no concomitant medications. The patient felt woozy and fainted approximately 5 minutes after receiving the vaccine. Subsequently, the patient recovered from the events. Additional information has been requested.


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