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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