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This is VAERS ID 279062

Case Details

VAERS ID: 279062 (history)  
Age: 20.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-01-23
Onset:2007-01-23
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:110
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Anorexia, Chills, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Movement disorder, Nausea, Pyrexia, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Depression
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00752

Write-up: Information has been received from a Physician Assistant (P.A.) concerning a 20 year old female with a history of depression who on 23-JAN-2007 was vaccinated with a first dose of Gardasil. Concomitant therapy included possible meningococcal vaccine, and hormonal contraceptives (unspecified). On 23-JAN-2007 immediately post vaccination the patient "blacked out and then threw up." The patient arrived home and she felt like she "passed out or fell right to sleep", when awoke she developed chills, low grade fever, sweating, nausea, no appetite, and felt like she "could not move." This happened two or three times all night between sleeping, and waking cycles with symptoms. However, at 4:00AM all symptoms stopped. Unspecified medical attention was sought. On 24-JAN-2007 patient recovered. Additional information has been requested.


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