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This is VAERS ID 279527

Case Details

VAERS ID: 279527 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Pennsylvania  
   Days after vaccination:0
Submitted: 2007-07-06
   Days after onset:36
Entered: 2007-05-17
   Days after submission:50
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: blood pressure, 05/31/07, 90/60; total heartbeat count, 05/31/07, 64; pulse oximetry, 05/31/07, 99 percent.
CDC Split Type: WAES0704USA04742

Write-up: Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil. Immediately after the vaccination, the patient experienced dizziness. Unspecified medical attention was sought. Subsequently, the patient recovered. Additional information has been requested. Initial and follow-up information has been received from a physician and a health professional concerning a 16 year old female with no pertinent medical history who on 31-MAY-2007, at 13:30, was vaccinated, into the left arm, with a first dose of GARDASIL (lot # 657736/0389U). On 31-MAY-2007, at 13:15, the patient experienced dizziness, sweaty, pale and was nauseous. Blood pressure measurement was 90/60, total heartbeat was 64 and pulse oximetry oxygen saturation measurement was 99 percent. The patient was laid down on the exam table and given water. Her color improved and she felt better. On 31-MAY-2007, the patient recovered from dizzines, sweaty, pale and nauseaus. No further information is available.

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