This is VAERS ID 284143
| Days after submission:||4
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||- / 1
||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: Unknown
CDC Split Type: WAES0705USA03306
Write-up: Information has been received from a Nurse Practitioner (N.P.) concerning a female patient who was vaccinated with a first dose of Gardasil. The patient fainted after 1 1/2 hours receiving the injection. Unspecified medical attention was sought. The patient''s outcome was recovered. Additional information is not expected.
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