| Days after vaccination:||0
| Days after onset:||0
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||0524U / 1
||LA / IM
Administered by: Private Purchased by: Private
Immediate post-injection reaction,
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Preexisting Conditions: Amoxicillin
Diagnostic Lab Data: EEG and echocardiogram have been ordered-patient has not had completed yet.
CDC Split Type:
Write-up: syncopal episode immediately after injection. patient quickly recovered and felt fine after about 15 seconds. no nausea, vomiting.