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This is VAERS ID 283857

Case Details

VAERS ID: 283857 (history)  
Age: 15.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-06-29
Onset:2007-06-29
   Days after vaccination:0
Submitted: 2007-07-02
   Days after onset:3
Entered: 2007-07-05
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524V / 0 RA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720 / 0 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Hyperhidrosis, Pallor
SMQs:, Neuroleptic malignant syndrome (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: Pt became pale, diaphoretic, after vaccine administered was given, sitting down, had not eaten all day BP 102/68 - 112/80 O2 98-100%.


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