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This is VAERS ID 277188

Case Details

VAERS ID: 277188 (history)  
Age: 12.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-03-30
Onset:2007-03-30
   Days after vaccination:0
Submitted: 2007-03-30
   Days after onset:0
Entered: 2007-04-23
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 UN / IM

Administered by: Private       Purchased by: Other
Symptoms: Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoride
Current Illness: Type II Diabetes
Preexisting Conditions: No known drug allergies, just diagnosed with Type II Diabetes
Diagnostic Lab Data: No test performed at the office on 3-30-07.
CDC Split Type: TX07027

Write-up: 3/30/07 10:00 AM HPV vaccine was administered on her left upper arm sitting on an exam table. 2-3 minutes after administering vaccine, pt. c/o a headache and dizziness. Pt. was placed on exam table in a laying position.


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