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This is VAERS ID 279647

Case Details

VAERS ID: 279647 (history)  
Age: 15.0  
Gender: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: diphtheria toxoid (+)
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA00004

Write-up: Information has been received from a office nurse in a physician''s office concerning a female in her late teens who was vaccinated with Gardasil. Concomitant therapy included Dtap. Subsequently the patient felt dizzy immediately after receiving the vaccine. Additional information is not expected.


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