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This is VAERS ID 283802

Case Details

VAERS ID: 283802 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-09
Onset:2007-05-09
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:36
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA01976

Write-up: Information has been received from a nurse concerning a female (age not reported) who on 09-MAY-2007 was vaccinated with a 0.5 mL dose of Gardasil (lot unavailable). Concomitant vaccination included unspecified "tetanus vaccine". On 09-MAY-2007 the patient "got dizzy after receiving Gardasil. The patient sought unspecified medical attention. On 09-MAY-2007, the patient recovered. There was no product quality complaint. Additional information has been requested.


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