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This is VAERS ID 279276

Case Details

VAERS ID: 279276 (history)  
Age: 15.0  
Gender: Female  
Location: New York  
Vaccinated:2007-05-19
Onset:2007-05-19
   Days after vaccination:0
Submitted: 2007-05-19
   Days after onset:0
Entered: 2007-05-22
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2277AA / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Musculoskeletal stiffness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Syncope - lasting 15 seconds (with stiffening but no seizures) resolved spontaneously with conservative care (lying down).


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