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This is VAERS ID 276949

Case Details

VAERS ID: 276949 (history)  
Age:   
Gender: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

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? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA00323

Write-up: Information has been received from a registered nurse, via a company representative, concerning a female patient who was vaccinated, IM, with a dose of Gardasil vaccine (yeast) (date not specified). Subsequently the patient fainted after the vaccination was administered. The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Follow up information from a nursing manager confirmed the event of fainting as reported, however, she also confirmed that further identifying details for the patient or event could not be provided. The patient sought unspecified medical attention. No further information is expected.


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