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This is VAERS ID 279050

Case Details

VAERS ID: 279050 (history)  
Age:   
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-31
Entered: 2007-05-17
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00572

Write-up: Information has been received from a company representative, reporting on a literature article (article name and author not specified) concerning patients who were vaccinated with a dose or doses of GARDASIL (date unspecified). According to the article, there were 4 cases of fainting after receiving GARDASIL. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Follow up information confirmed that only one patient was identified with the events (WAES #0610USA04009). Therefore, WAES # 0704USA000572 is being deleted from our files. No further information is expected. This report was previously sent in a monthly submission to PLA V501 on 14-MAR-2007.


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