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This is VAERS ID 282848

Case Details

VAERS ID: 282848 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-06-25
   Days after onset:117
Entered: 2007-06-26
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Depression, Dizziness, Similar reaction on previous exposure to drug
SMQs:, Anticholinergic syndrome (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0706USA03288

Write-up: Information has been received from a physician, via a company representative, concerning a 17 year old female patient, who on 27-FEB-2007 was vaccinated IM, with the first dose of Gardasil (Lot # not provided). There was no concomitant medication. On approximately 27-FEB-2007 ("after getting her first dose"), the patient reported feeling a "little woozy." Later on (onset date not specified), she experienced depression that was significant enough to require counseling. With counseling, the depression cleared (date not specified). On approximately 25-MAY-2007, she was vaccinated IM with the second dose of Gardasil (Lot # not provided). On 25-MAY-2007, following the vaccination, she felt lightheaded, and again "went into depression (onset date not reported); counseling was reinitiated. At the time of this report, the outcome of feeling woozy, feeling lightheaded, and the second episode of depression were unknown. The physician considered the episodes of depression to be significantly disabling or incapacitating. Additional information has been requested.

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