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This is VAERS ID 282274

Case Details

VAERS ID: 282274 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-06-19
Onset:2007-06-19
   Days after vaccination:0
Submitted: 2007-06-19
   Days after onset:0
Entered: 2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood pressure normal, Nausea, Paraesthesia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Hyperlipidemia and mild Scoliosis
Allergies:
Diagnostic Lab Data: BP 94/65 8:40 am taken again 94/61 8:50 am
CDC Split Type:

Write-up: Several minutes after IM injection with Gardasil vacc -patient felt nauseated and tingley. Fainted. Legs were elevated, BP taken, apple juice given. 10-15 minutes after later-felt better. Evaluated by doctor and was able to leave the office


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