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This is VAERS ID 279992

Case Details

VAERS ID: 279992 (history)  
Age: 17.0  
Gender: Female  
Location: Washington  
Vaccinated:2007-05-22
Onset:2007-05-22
   Days after vaccination:0
Submitted: 2007-07-06
   Days after onset:45
Entered: 2007-05-30
   Days after submission:37
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655620/0171U / 0 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Concurrent Conditions: Anxiety, Panic Attack
Preexisting Conditions: Anxiety/Panic attacks
Diagnostic Lab Data: blood pressure, 05/22/07, 115/6;pulse oximetry, 05/22/07, 97 percent; total heartbeat count, 05/22/07, 68
CDC Split Type:

Write-up: Fainting episode within 5 minutes of Gardasil injection. This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a physician concerning a 17 year old female with anxiety and panic attack who on 22-MAY-2007, at 16:30 was vaccinated, into the left deltoid , with a first dose of GARDASIL vaccine (yeast) (lot #. On 22-MAY-2007, at 16:33, the patient experienced fainting. Blood pressure was 115/60, heart rate was 68 and oxygen saturation was 97 percent. On 22-MAY-2007, within a few minutes , the patient recovered without medical intervention.. No further infoarmation is available


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