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This is VAERS ID 279809

Case Details

VAERS ID: 279809 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-05-19
Onset:2007-05-19
   Days after vaccination:0
Submitted: 2007-05-25
   Days after onset:6
Entered: 2007-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 6 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: Synthroid
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Student fainted and lost consciousness for about 15 seconds at 11:00AM. Vital signs were stable before and after the episode of syncope. Student stated that she had not eaten anything that morning. She told the nurse before receiving the vaccine that she had not had any reaction with the first dose of HPV vaccine. After the syncope, she told the nurse that she had fainted with the first dose of HPV but she thought it was because she also had a large amount of blood drawn for tests at that same visit. Student rested at the health center for a short time and then returned to her dorm room to get ready for the convocation for graduation. She was informed about reaction symptoms and was instructed to return to the health center if she devloped any of these symptoms. She was instructed to contact her doctor at home next week after graduation.


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