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This is VAERS ID 282776

Case Details

VAERS ID: 282776 (history)  
Age: 11.0  
Gender: Female  
Location: California  
Vaccinated:2007-06-14
Onset:2007-06-14
   Days after vaccination:0
Submitted: 2007-06-15
   Days after onset:1
Entered: 2007-06-25
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor, Presyncope
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt had near syncopal episode. Pt became pale, diaphoretic, dizzy, nauseous.


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