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This is VAERS ID 281418

Case Details

VAERS ID: 281418 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: South Dakota  
Vaccinated:2007-06-08
Onset:2007-06-08
   Days after vaccination:0
Submitted: 2007-06-08
   Days after onset:0
Entered: 2007-06-12
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 LA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Nausea, Pallor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Patient developed difficulty breathing, light-headed, dizzy skin-diaphoretic,pale nauseated-felt like she was going to faint. Symptoms started 2-3 minutes after vaccination.


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