This is VAERS ID 276805
| Days after submission:||3
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||- / UNK
||UN / IM
Administered by: Other Purchased by: Other
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
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Other Medications: Unknown
Preexisting Conditions: unknown
Diagnostic Lab Data:
CDC Split Type: WAES0703USA03461
Write-up: Information has been received from a physician concerning a 17 year old female who was vaccinated with Gardasil. Subsequently the patient fainted after being administered the vaccine. As of 16-MAR-2007 the patient was recovering. Additional information has been requested.
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