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This is VAERS ID 280296

Case Details

VAERS ID: 280296 (history)  
Age: 10.0  
Gender: Female  
Location: Indiana  
Vaccinated:2007-06-04
Onset:2007-06-04
   Days after vaccination:0
Submitted: 2007-06-04
   Days after onset:0
Entered: 2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Cold sweat, Dizziness, Malaise, Nausea, Pallor, Presyncope, Tinnitus, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: A few minutes after injection pt stated she didn''t feel well. Pt put head down between legs, c/o nausea. Pt looked up and was completely pale, c/o blurred vision, ringing in ears, dizzy, clammy, lightheaded. Assisted pt to car and transported to ER. Was dx as pre-syncope and drink fluids was discharged at 15:00


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