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This is VAERS ID 277339

Case Details

VAERS ID: 277339 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Ohio  
Vaccinated:2007-04-19
Onset:2007-04-20
   Days after vaccination:1
Submitted: 2007-04-24
   Days after onset:4
Entered: 2007-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2106AA / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Activities of daily living impaired, Dizziness
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: uncertain~DTaP (no brand name)~1~0.20~In Patient
Other Medications: Septra
Current Illness: None
Preexisting Conditions: Acne
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Persistant dizziness for several days, prevented her from working for 1-2 days


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