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This is VAERS ID 277597

Case Details

VAERS ID: 277597 (history)  
Age: 11.0  
Gender: Female  
Location: California  
Vaccinated:2007-02-07
Onset:2007-02-07
   Days after vaccination:0
Submitted: 2007-02-07
   Days after onset:0
Entered: 2007-04-30
   Days after submission:81
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood test, Computerised tomogram normal, Fatigue, Sinusitis, 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: none
Current Illness:
Preexisting Conditions: Hx hypoglycemia
Diagnostic Lab Data: CT negative, blood work 24 hr pending. On 2-21-07 doctor treated with Amoxicillin for sinusitis
CDC Split Type:

Write-up: patient fainted in office approx 10 min. after injection. Patient rested a few minutes then went home. About 3:30pm mother reported child was feeling fatigued and was sleeping. Pt had ER visit later. 2-21-07 pt had a followup appt


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