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This is VAERS ID 276930

Case Details

VAERS ID: 276930 (history)  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-29
Onset:2007-03-29
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:15
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Syncope
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA05533

Write-up: Information has been received from a Nurse Practitioner (N.P.) concerning an 18 year old female patient who was vaccinated with a dose of Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. On 29-MAR-2007 the patient recovered. Additional information has been requested.


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