National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276889

Case Details

VAERS ID: 276889 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-02-12
Onset:2007-02-12
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:59
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 2 GM / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Headache, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-TRI-CYCLEN LO
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04682

Write-up: Information has been received from a Licensed Practical Nurse (L.P.N.) concerning a 15 year old female patient who was vaccinated IM in the gluteus with a first dose of Gardasil in another practice. On 12-FEB-2007, she was vaccinated IM in the gluteus with a second dose of Gardasil, lot #653978/0955F. Concomitant therapy included Ortho-Tri-Cyclen Lo. Within minutes of the vaccination, the patient developed dizziness, blurred vision and severe headache. The patient visited the emergency room and was diagnosed with migraines. The patient recovered. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276889


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