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This is VAERS ID 284181

Case Details

VAERS ID: 284181 (history)  
Form: Version 1.0  
Gender: Female  
Location: Massachusetts  
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Syncope
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
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Syncope
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA04074

Write-up: Information has been received from a physician concerning a female with a history of fainting who was vaccinated with the first dose of Gardasil and fainted. Medical attention was sought. Additional information has been requested. 10/08/2007 Information has been received from a physician concerning a female patient with a history of fainting with shots who was vaccinated with a first dose of GARDASIL. After getting the vaccination the patient fainted. Unspecified medical attention was sought. It was reported that the patient told the physician she would faint in advance of getting the vaccine. It was stated that she "always faints with shots". At the time of this report the patient recovered. No product quality complaint was involved. The reporter felt that fainted was "not an adverse event from GARDASIL". Additional information is not expected.

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