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This is VAERS ID 284139

Case Details

VAERS ID: 284139 (history)  
Age: 15.0  
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. 0319U / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Blood pressure, Dizziness, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (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: Unknown
Diagnostic Lab Data: blood pressure, 05/09/07, 80/48, after vaccination of Gardasil; blood pressure, 05/09/07, 110/70, during examination for vaccination; blood pressure, 05/09/07, 80/52, during discharge in mother''s care
CDC Split Type: WAES0705USA03206

Write-up: Information has been received from a Licensed Practical Nurse (L.P.N.) concerning a 15 year old female student who on 09-MAY-2007 was vaccinated IM in left deltoid with a first dose of Gardasil (lot #654272/0319U). Concomitant therapy included ADACEL. On 09-MAY-2007 the patient experienced dizziness and became diaphoretic after getting the injection. The dizziness last 5-10 minutes and the blood pressure measurement was 80/48. During the examination time the blood pressure measurement was 110/70. She was given juice and crackers and 10 minutes later she reported feeling better. She was released in mother''s care and her blood pressure measurement was 80/52. Additional information is not expected.


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