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This is VAERS ID 283124

Case Details

VAERS ID: 283124 (history)  
Age: 13.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-06-18
Onset:2007-06-18
   Days after vaccination:0
Submitted: 2007-06-28
   Days after onset:10
Entered: 2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 - / -

Administered by: Public       Purchased by: Public
Symptoms: Cold sweat, Pallor
SMQs:, 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: pallor and clamminess~HPV (Gardasil)~1~13.00~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Over nutrition, high cholesterol, poor vision.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: After 1st dose - 1 episode pallor and clamminess, After 2nd dose - 2 episodes pallor and clamminess symptoms self - resolved.


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