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This is VAERS ID 282772

Case Details

VAERS ID: 282772 (history)  
Age: 14.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-06-12
Onset:2007-06-12
   Days after vaccination:0
Submitted: 2007-06-19
   Days after onset:7
Entered: 2007-06-25
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2004AA / 0 RA / UN

Administered by: Private       Purchased by: Private
Symptoms:
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol PRN, Zyrtec PRN
Current Illness: NONE
Preexisting Conditions: Environmental allergies
Diagnostic Lab Data: Patient also received Menactra vaccine same day 7/11/07-spoke with reporter''s office-patient became dizzy, fell in parking lot-returned to office BP 98/56. Appeared to be vasovagal reaction to immunization. Observed and recovered.
CDC Split Type:

Write-up: None stated


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