National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283845

Case Details

VAERS ID: 283845 (history)  
Age: 16.0  
Gender: Female  
Location: Colorado  
Vaccinated:2007-06-27
Onset:2007-06-27
   Days after vaccination:0
Submitted: 2007-06-29
   Days after onset:2
Entered: 2007-07-05
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0442U / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524C / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2734AA / 5 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Clonus, Dizziness, Electrocardiogram normal, Full blood count, Head injury, Hypotension, Pallor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair, Albuterol
Current Illness:
Preexisting Conditions: Stable exercise induced asthma, Allergic garamycin
Diagnostic Lab Data: CBC WNL, EKG WNL, D-Dimer <.22 WNL
CDC Split Type:

Write-up: Within a couple minutes of admin, she verbalized she felt faint, slumped and hit head against exam table mirror, became pale, clonic arm movements x 4 per mom. Administered O2, elevated feet gave water, pretzels. Hypotensive in ER where she was sent with 1 hour in office.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283845


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166