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This is VAERS ID 279564

Case Details

VAERS ID: 279564 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-24
Onset:2007-04-25
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:19
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Adverse event, 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? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA05818

Write-up: Information has been received from a healthcare worker concerning a female who on 24-APR-2007 was vaccinated with Gardasil. On 25-APR-2007 the patient experienced fainting and other unspecified adverse experiences. Additional information is not expected.


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