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This is VAERS ID 276901

Case Details

VAERS ID: 276901 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Loss of consciousness, Nausea, Vaccine positive rechallenge
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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unk; None
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04958

Write-up: This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a registered nurse concerning several young girls with allergies or medical history who "several months ago" were vaccinated IM with a 0.5 ml dose of GARDASIL. There were no illnesses at the time of vaccination. Subsequently, "several young girls passed out or were nauseated and lightheaded" after receiving vaccine. It was also reported that some patients'' passed out and laid down to receive the second and third doses from this experience. Unspecified medical attention was sought. No diagnostic laboratory studies were performed. On an unspecified date, the patients'' recovered. No product quality complaint was involved. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available.

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