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This is VAERS ID 284205

Case Details

VAERS ID: 284205 (history)  
Age: 14.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-07-09
Onset:2007-07-09
   Days after vaccination:0
Submitted: 2007-07-09
   Days after onset:0
Entered: 2007-07-10
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 1 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Syncope, Tremor, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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:
Diagnostic Lab Data: None
CDC Split Type: NC07075

Write-up: Within 5 sec after giving shot, child started shaking, unresponsive for 15-30 sec then fainted.


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