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This is VAERS ID 279468

Case Details

VAERS ID: 279468 (history)  
Age: 19.0  
Gender: Female  
Location: Washington  
Vaccinated:2007-05-17
Onset:2007-05-18
   Days after vaccination:1
Submitted: 2007-05-18
   Days after onset:0
Entered: 2007-05-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 RA / UN

Administered by: Private       Purchased by: Unknown
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Spironolactone, Fluoxetine
Current Illness: Vaginitis/MLL
Preexisting Conditions: Paracystic ovary
Diagnostic Lab Data:
CDC Split Type:

Write-up: Syncoval episode the day after administration


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