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This is VAERS ID 279689

Case Details

VAERS ID: 279689 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: California  
   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

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Pain in extremity, Visual disturbance
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA01662

Write-up: Information has been received from a physician concerning a 21 year old female who was vaccinated on 25-APR-2007 at 12:00 pm with a first dose of GARDASIL vaccine (lot # "03840") in the left arm. Subsequently, the patient reported feeling lightheaded and saw spots. This is one of two reports received from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. On 25-APR-2007, at 12:00 pm, the patient reported feeling lightheaded, dizzy, and saw a few spost for about 2 minutes. The patient also experienced arm soreness for 24 hours. Subsequently, the patient recovered from feeling lightheaded, dizzy, saw a few spots, and arm soreness. This is one of two reports received from the same source. Additional information is not expected.

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