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This is VAERS ID 279125

Case Details

VAERS ID: 279125 (history)  
Age: 12.0  
Gender: Female  
Location: Rhode Island  
   Days after vaccination:0
Submitted: 2007-05-15
   Days after onset:1
Entered: 2007-05-21
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 - / IM

Administered by: Public       Purchased by: Public
Symptoms: Malaise, 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Child received Gardasil - within 3-4 minutes stated "I don''t feel good" - within 7-8 minutes after injection, child fainted to the floor. Child woke right away.

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