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This is VAERS ID 282284

Case Details

VAERS ID: 282284 (history)  
Age: 7.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-06-18
Onset:2007-06-18
   Days after vaccination:0
Submitted: 2007-06-19
   Days after onset:1
Entered: 2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 0 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Dyskinesia, Feeling abnormal, Pallor, Syncope, Tinnitus
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hearing impairment (narrow), 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: Exema
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient recieved the MCV4 in the L deltoid and HPV in the R deltoid. When the patient got up from the table the color drained from her face and she asked if she should "feel funny?" Here ears began ringing and everything went black. She fainted to the floor and her legs were fluttering from her legs being bent. Here legs were down. The adminstering nurse helped her to the floor and put her arms around the patient. The episode lasted no more than a minute to a minute to a minute and a half.


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