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This is VAERS ID 280281

Case Details

VAERS ID: 280281 (history)  
Age: 13.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-05-29
Onset:2007-05-29
   Days after vaccination:0
Submitted: 2007-05-29
   Days after onset:0
Entered: 2007-06-04
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Dizziness, Injection site reaction, Nausea, Pallor
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Injection given and pt became weak, color drained from face and felt nauseated and faint. Pt did not faint- no LOC


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