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This is VAERS ID 284904

Case Details

VAERS ID: 284904 (history)  
Age: 21.0  
Gender: Female  
Location: Virginia  
Vaccinated:2007-05-24
Onset:2007-05-25
   Days after vaccination:1
Submitted: 2007-07-06
   Days after onset:42
Entered: 2007-07-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0319U / 1 AR / IM

Administered by: Private       Purchased by: Other
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA00302

Write-up: Information has been received from a nurse concerning a 21 year old female patient who on 24-MAY-2007 was vaccinated with Gardasil. On 25-MAY-2007 the patient experienced dizziness and nausea. Medical attention was sought. The patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a nurse practitioner and a licensed practical nurse concerning a 21 year old female student, who on 24-MAY-2007 in the am, was vaccinated IM in the deltoid with a second dose of GARDASIL (lot # 654272/0319U). On 25-MAY-2007 the patient experienced dizziness and nausea. The patient''s outcome was unknown. No product quality complaint was involved. Additional information is not expected.


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