This is VAERS ID 284133
| 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
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Other Medications: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA03168
Write-up: Initial and follow-up information has been received from a physician''s assistant concerning a female who was vaccinated with Gardasil. Subsequently the patient fainted. Unspecified medical attention was sought. Subsequently, the patient recovered from fainting. There were no laboratory or diagnostic tests performed. Additional information is requested.
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