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This is VAERS ID 283274

Case Details

VAERS ID: 283274 (history)  
Age: 15.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-06-25
Onset:2007-06-25
   Days after vaccination:0
Submitted: 2007-06-25
   Days after onset:0
Entered: 2007-06-29
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Pallor, Presyncope
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient near syncope, felt faint, upset, pale in color.


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