This is VAERS ID 279559
| Days after vaccination:||0
| Days after onset:||21
| Days after submission:||3
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||0384U / 1
||UN / UN
Administered by: Other 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
Permanent Disability? No
ER or Doctor Visit? Yes
Other Medications: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA05279
Write-up: Information has been received from a physician concerning a 24 year old female who on 23-APR-2007 was vaccinated with Gardasil (Lot# 657617/0384U). On 23-APR-2007 the patient fainted before receiving dose two. The patient recovered and received the second dose that same day. Additional information is not expected.
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