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This is VAERS ID 279265

Case Details

VAERS ID: 279265 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-05-14
Onset:2007-05-14
   Days after vaccination:0
Submitted: 2007-05-17
   Days after onset:3
Entered: 2007-05-22
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Computerised tomogram normal, Head injury, Pyrexia, Syncope, X-ray normal
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: LEXAPRO
Current Illness: Allergic rhinitis, sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CT Scan of head and skull X-ray (-) (obtained secondary to fall/ head injury)
CDC Split Type:

Write-up: 1. Syncope shortly after with head injury (contusion) had CT scan in ER next day which was ok. 2. Fever next day (101.2)


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