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This is VAERS ID 282724

Case Details

VAERS ID: 282724 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-06-22
Onset:2007-06-22
   Days after vaccination:0
Submitted: 2007-06-22
   Days after onset:0
Entered: 2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Echocardiogram, Electroencephalogram, Immediate post-injection reaction, Syncope
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
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
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.


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