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This is VAERS ID 279238

Case Details

VAERS ID: 279238 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-16
Onset:2007-04-16
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:28
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: STRATTERA
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA03508

Write-up: Information has been received from a Nurse Practitioner (N.P.) concerning a 25 year old female patient who on 16-APR-2007 was vaccinated IM with a first dose of Gardasil. Concomitant therapy included Strattera. On 16-APR-2007 the patient experienced dizziness and headache. The headache was resolved when patient awoke the next day. The patient''s dizziness persisted. Unspecified medical attention was sought. The patient had not recovered. Additional information has been requested.


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