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This is VAERS ID 279914

Case Details

VAERS ID: 279914 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-05-29
   Days after onset:4
Entered: 2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280 / 1 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01810 / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Injection site pain, Nausea, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular 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: none
Current Illness: 3:10PM
Preexisting Conditions: none
Diagnostic Lab Data: none done
CDC Split Type:

Write-up: Patient had blurry vision and dizziness initially. Patient''s BP was stable throughout. Patient continued wtih dizziness and also developed nausea, nausea, and pain at the shot site for 3-4 hours after shot given. Patient reported no symptoms after that time.

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