National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276861

Case Details

VAERS ID: 276861 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: New York  
Vaccinated:2007-03-06
Onset:2007-03-06
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:37
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Dizziness, Feeling abnormal, Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04153

Write-up: Information has been received from a nurse, concerning a 20 year old female student, who on 06-MAR-2007 at 11:00 am, was vaccinated with the first dose, 0.5ml, IM in the left deltoid, of Gardasil (Lot # 654702/0011U). The nurse reported that "approximately 5 minutes after" the vaccination (time reported as 11:15am), the patient "felt lightheaded and fainted, lost consciousness for approximately less than a minute." The nurse stated that the patient complained of feeling "strange in her head" and experienced abdominal cramps" that lasted for approximately 20 minutes. The nurse indicated that the patient had not had breakfast that morning and felt better after drinking some orange juice. The patient recovered from the events on 07-MAR-2007. No further information is expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276861


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166