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This is VAERS ID 283124

Case Details

VAERS ID: 283124 (history)  
Form: Version 1.0  
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 / 2 - / -

Administered by: Public       Purchased by: Public
Symptoms: Cold sweat, Pallor
SMQs:, Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (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: pallor and clamminess~HPV (Gardasil)~1~13.00~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Over nutrition, high cholesterol, poor vision.
Allergies:
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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