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This is VAERS ID 279623

Case Details

VAERS ID: 279623 (history)  
Age: 21.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-25
Onset:2007-04-25
   Days after vaccination:0
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. - / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Visual disturbance
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; YASMIN
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA06049

Write-up: Information has been received from a physician concerning a 21 year old female who on 25-APR-2007 was vaccinated with Gardasil. Concomitant therapy included ZOLOFT and YASMIN. On 25-APR-2007 the patient reported feeling lightheaded and saw spots. Subsequently, the patient recovered from feeling lightheaded and saw spots. This is one of two reports from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information has been requested. Information has been received from a physician and a nurse concerning a 21 year old female who on 25-APR-2007 was vaccinated IM into the left deltoid with a first dose of GARDASIL. There was no illness at the time of vaccination. Concomitant therapy included ZOLFT and YASMIN. On 25-APR-2007 the patinet reported feeling lightheaded, like she was going to pass out and sasw spots for 20 to 30 seconds. It was reported that she felt better right away. On 25-APR-207 the patient recovered. The patient had no problems since. This is one of two reports received from the same source. Additional information is not expected.


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