National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 281105

Case Details

VAERS ID: 281105 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-06-05
Onset:2007-06-05
   Days after vaccination:0
Submitted: 2007-06-07
   Days after onset:2
Entered: 2007-06-11
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 2 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1967AA / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Cold sweat, Dizziness postural, Pallor
SMQs:, Hypotonic-hyporesponsive episode (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: None known or reported
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient sat for 5 minutes after vaccines, felt fine. Rose to stand slowly and was fine. Discharged from office. 5 minutes later felt dizzy while at the appointment desk. Color pale, clammy skin. Recovered with supine position and Oxygen, OJ to drink. Had no lunch today. Discharged from office at 3:30 pm.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281105


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166