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This is VAERS ID 283799

Case Details

VAERS ID: 283799 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood test, Dizziness, Erythema, Hot flush, Hyperhidrosis, Immediate post-injection reaction
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA01872

Write-up: Information has been received from a physician and a nurse concerning a 17 year old female who in April 2007, was vaccinated with Gardasil (lot number unknown). Right after administration of the vaccine, the patient experienced hot flashes, reddening of the face, dizziness and sweating on her head. The patient had an unspecified blood test performed (results not provided) and sought unspecified medical attention. Subsequently, the patient recovered from hot flashes, reddening of the face, dizziness and sweating on her head the same day as the vaccination. Additional information has been requested.

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