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This is VAERS ID 282735

Case Details

VAERS ID: 282735 (history)  
Age: 18.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-06-21
Onset:2007-06-21
   Days after vaccination:0
Submitted: 2007-06-23
   Days after onset:2
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

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hypotension, Malaise, Musculoskeletal stiffness, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad)

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

Write-up: Patient received Gardasil. Three minutes after the vaccine was given she said: "I don''t feel good" Then she went pale, stiff, fainted. She didn''t recall what happened. She came back after 5 minutes. Her BP was low, 60/40 and received epi 0.3 mg.


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