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This is VAERS ID 284530

Case Details

VAERS ID: 284530 (history)  
Age: 11.0  
Gender: Female  
Location: Washington  
Vaccinated:2007-05-16
Onset:2007-05-16
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:29
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / - UN / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (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: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05712

Write-up: Information has been received from a physician concerning a 12 year old female who was vaccinated with Gardasil. Concomitant therapy included DPT and Menactra. Subsequently the patient experienced dizziness and a lightheaded woozy feeling after receiving therapy with Gardasil. Subsequently, the patient recovered from dizziness and lightheaded woozy feeling. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial information has been received from a physician and a licensed practical nurse concerning a 11 year old female who on 16-MAY-2007 was vaccinated with a first dose of GARDASIL (lot # 655620/0171U). On 16-MAY-2007, concomitant therapy included IM dose of DTP, IM dose of MENACTRA and IM dose of hepatitis A virus vaccine (manufacturer unknown). On 16-MAY-2007, experienced dizziness lasting about 15 minutes. On 16-MAY-2007, the patient recovered from dizziness and the lightheaded woozy feeling. Additional information is not expected.


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