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This is VAERS ID 281112

Case Details

VAERS ID: 281112 (history)  
Age:   
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-05-25
Onset:2007-05-25
   Days after vaccination:0
Submitted: 2007-06-05
   Days after onset:11
Entered: 2007-06-11
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2234AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR 2644AA / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Syncope, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (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: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Had Syncopal episode lasting 5 seconds immediately following injections (3). Brief shaking associated with syncope. PMH - similar episode when treated for ingrown toenail.


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