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This is VAERS ID 284206

Case Details

VAERS ID: 284206 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Arkansas  
Vaccinated:2007-07-05
Onset:2007-07-05
   Days after vaccination:0
Submitted: 2007-07-10
   Days after onset:5
Entered: 2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Fatigue, Feeling hot
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Milk and ASA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Injection given on 7-5-07, pt left office after 15 min of inj. okay. Called back states she had immediate response felt very tired feverish and dizzy.


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