This is VAERS ID 279490
| Days after submission:||3
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||- / UNK
||- / -
Administered by: Private Purchased by: Other
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
Permanent Disability? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Other Medications: Unknown
Preexisting Conditions: Anxiety
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA04021
Write-up: Information has been received from a nurse in a physician''s office concerning a female patient in her "late teens" with no drug reactions/allergies and with a history of anxiety problems who was vaccinated with Gardasil. Subsequently the patient fainted after receiving Gardasil. No lab tests were performed. The patient sought unspecified medical attention. Additional information is not expected.
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