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This is VAERS ID 276887

Case Details

VAERS ID: 276887 (history)  
Age: 20.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-03-19
Onset:2007-03-19
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:25
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 GM / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood glucose, Drug administered at inappropriate site, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Medication errors (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Papanicolaou smear abnormal
Diagnostic Lab Data: Blood glucose 03/19/2007 110
CDC Split Type: WAES0703USA04616

Write-up: Information has been received from a nurse, via a company representative, concerning a 20 year old female with a history of an abnormal papanicolaou smear, who on 19-MAR-2007 was vaccinated, iM in the buttocks, with the second dose of Gardasil. There was no concomitant medication. The nurse reported that on 19-MAR-2007, a few minutes after the vaccination, the patient "turned pale and fainted for a few seconds." The nurse reported the patient''s blood sugar was 110 (units not specified). Subsequently, the patient recovered on the same day. additional information has been requested.


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