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This is VAERS ID 282966

Case Details

VAERS ID: 282966 (history)  
Age: 11.0  
Gender: Female  
Location: California  
Vaccinated:2007-06-19
Onset:2007-06-19
   Days after vaccination:0
Submitted: 2007-06-19
   Days after onset:0
Entered: 2007-06-27
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Feeling abnormal, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (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: Multivitamin
Current Illness:
Preexisting Conditions: Dizziness & lightheadedness
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received vaccine and then sat for about 7-8 minutes. Upon checking out pt stated that she didn''t feel right and fainted. Pt came around a minute later sat for awhile and was released


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