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This is VAERS ID 282234

Case Details

VAERS ID: 282234 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2006-12-27
Onset:2006-12-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 - / -

Administered by: Other       Purchased by: Unknown
Symptoms: Immediate post-injection reaction, Incontinence, Loss of consciousness, Somnolence
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), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), 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: delayed reaction, extreme irritability, screamed for 24 hours~DTP (no brand name)~1~0.00~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: See #7
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient immediately lost consciousness and became incontinent regained consciousness after 5 minutes but was groggy. Able to sit up/walk after 20 minutes. No history of seizures. Had symptoms for treatment 3 years ago with no further treatment.


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