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This is VAERS ID 282859

Case Details

VAERS ID: 282859 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-04-24
Onset:2007-04-24
   Days after vaccination:0
Submitted: 2007-06-25
   Days after onset:62
Entered: 2007-06-26
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 1 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Dizziness, Headache, Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo Provera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortly after receiving Gardasil on 4/24/07. Pt became "dizzy and lightheaded and heart was racing" - was reported to us today 6-25-07 also headache.


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