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This is VAERS ID 284426

Case Details

VAERS ID: 284426 (history)  
Age: 13.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-07-12
Onset:2007-07-12
   Days after vaccination:0
Submitted: 2007-07-12
   Days after onset:0
Entered: 2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. UNKNOWN / 0 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Chills, Deafness, Dizziness, Hyperhidrosis, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~ ()~NULL~~In Patient
Other Medications: None (vitamin supplements)
Current Illness: Pink-eye infection
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Lightheadedness, dizziness, blackout, temporary loss of hearing, chills and sweats.


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