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This is VAERS ID 284003

Case Details

VAERS ID: 284003 (history)  
Age: 21.0  
Gender: Female  
Location: New Hampshire  
Vaccinated:2007-07-02
Onset:2007-07-02
   Days after vaccination:0
Submitted: 2007-07-02
   Days after onset:0
Entered: 2007-07-06
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Discomfort, Dizziness, Hyperhidrosis, Immediate post-injection reaction
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), 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: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Within one minute of administering vaccine, Pt became light headed and sweaty. She was made to lie down and her feet elevated for 15 mins. She was given fruit juice to drink. Discomfort lasted about 5 mins.


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