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This is VAERS ID 279178

Case Details

VAERS ID: 279178 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK 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
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0704USA01480

Write-up: Information has been received from a physician concerning female patients who were vaccinated with Gardasil. The patients had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patients recovered. Additional information has been requested. This is in follow-up to report previously sumitted on 5/14/2007. Information has been received from a physician concerning female patients who were vaccinated with GARDASIL. The patient had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patient recovered.


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