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This is VAERS ID 282734

Case Details

VAERS ID: 282734 (history)  
Age: 18.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-06-23
Onset:2007-06-23
   Days after vaccination:0
Submitted: 2007-06-23
   Days after onset:0
Entered: 2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2183AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1501F / 0 LA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Asthenia, Blood pressure decreased, Heart rate decreased, Musculoskeletal stiffness, Pallor, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: After 3 minutes of the application, the patient got paleness, weakness, shakeness, generalized stiffness. She asked then "What happened? The BP went down to 80/60, and heart rate around 50''s. The situation resolved in 15 minutes. No aditional treatment was given.


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