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This is VAERS ID 279468

Case Details

VAERS ID: 279468 (history)  
Form: Version 1.0  
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 / 1 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
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: Spironolactone, Fluoxetine
Current Illness: Vaginitis/MLL
Preexisting Conditions: Paracystic ovary
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Syncoval episode the day after administration


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