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This is VAERS ID 284888

Case Details

VAERS ID: 284888 (history)  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-21
Onset:2007-02-21
   Days after vaccination:0
Submitted: 2007-07-06
   Days after onset:134
Entered: 2007-07-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 GM / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Incorrect route of drug administration
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: BENADRYL; ORTHO TRI-CYCLEN
Current Illness: Rash Pruritus
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04647

Write-up: Information has been received from a LPN concerning an 18year old female with no pertinent medical history and no prior drug reactions who on 21-FEB-2007 was vaccinated with second dose Gardasil (Lot#653978/955F). Concomitant therapy included ORTHO TRI-CYCLEN and BENADRYL as needed for rash/itch. The patient was administered her first and second dose of Gardasil via the gluteus. The first dose was administered at another practice (not administered by the reporting nurse''s practice). On 12-FEB_2007, the patient received her second dose of Gardasil and within minutes of vaccination, she experienced dizziness. Subsequently, after a few minutes, the patient recovered from dizziness. The patient sought unspecified medical attention. Additional information has been requested.


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