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This is VAERS ID 279052

Case Details

VAERS ID: 279052 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:46
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal discomfort, Blood pressure decreased, Dizziness, Hypotension, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness: Sulfonamide allergy; House dust allergy; Mycotic allergy
Preexisting Conditions: Mitral value prolapse; Mitral regurgitation; Cardiac disorder; Syncope; Migraine
Diagnostic Lab Data: blood pressure 03/30/07 117/8
CDC Split Type: WAES0704USA00593

Write-up: Information has been received from a nurse concerning a 20 year old female student with sulfonamide allergy, house dust allergy and mycotic allergy and a history of mitral value prolapse, mitral value regurgitation, "other episodes" of syncope, cardiac disorder and migraines who on 29-MAR-2007 was vaccinated with Gardasil IM in the left deltoid. Concomitant therapy included Ortho-Tri-Cyclen. On 29-MAR-2007, immediately following vaccination, the patient felt faint and nauseous. The patient''s blood pressure was 117/86. The patient was treated with smelling salts, cool compress, food and cranberry juice. The patient went home after feeling better. On 30-Mar-2007 the patient visited the physician in the student health center at school where the patient complained of nauseousness and dizziness. The physician''s diagnosis was hypotension and GI upset. On 03-Apr-2007 the nurse contacted the patient who was fully recovered from the events. The patient will continue the series of vaccinations. Additional information has been requested.

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