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This is VAERS ID 278147

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 278147 (history)  
Form: Version .0  
Age: 16.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-05-04
Onset:2007-05-04
   Days after vaccination:0
Submitted: 2007-05-04
   Days after onset:0
Entered: 2007-05-08
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 1 UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Cold compress therapy, Dizziness, Feeling abnormal, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was dizzy and weak almost immediately after inj. layed down w/cool cloth on head. Pt got shaky and said that her body felt "weird".


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=278147


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