National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 282822

Case Details

VAERS ID: 282822 (history)  
Age: 15.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-06-15
Onset:2007-06-15
   Days after vaccination:0
Submitted: 2007-06-25
   Days after onset:10
Entered: 2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2228AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0336U / 0 RA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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: None
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: Patient has a very small stature. She is 15.5 years old and is 4ft 10.5 inches and weighs 76 pounds.
CDC Split Type:

Write-up: She received 3 vaccines, the last of which was HPV. After the third vaccination, she had a syncopal episode and it took approximately 3 minutes to regain consciousness. She was mentally alert and feeling fine by the time she left the clinic 15 minutes later. We elevated her feet and gave her something to drink.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282822


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166