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This is VAERS ID 282175

Case Details

VAERS ID: 282175 (history)  
Age: 17.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-06-18
Onset:2007-06-18
   Days after vaccination:0
Submitted: 2007-06-18
   Days after onset:0
Entered: 2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0249U / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Loss of consciousness, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: NO
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Received Gardasil vaccine first, then HAV and within appx. 1 minute after vaccines client slumped to side while sitting in chair and was unresponsive for appx. 10 seconds. Staff assisted to floor and client became responsive prior to this. No injury occured. Given soda to drink. Client very thin. Oatmeal for breakfast but no dinner the night before. Blood pressure laying 104/60 Pulse 76. B.P.sitting 94/60 pulse 74


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