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This is VAERS ID 282953

Case Details

VAERS ID: 282953 (history)  
Form: Version 1.0  
Age: 10.0  
Gender: Unknown  
Location: Illinois  
Submitted: 0000-00-00
Entered: 2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Musculoskeletal stiffness, Pallor
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (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:
Current Illness: None
Preexisting Conditions: Hx of seizure disorder
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Few minutes after inj with Gardasil pt''s mother reported that pt feels dizzy, looks pale and had stiffening of UE and LE. NO L.O.C, no seizures, Pt was observed 20 minutes and discharged in good condition.

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