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This is VAERS ID 286082
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| VAERS ID: | 286082 | Vaccinated: | 2007-07-26 | | Age: | 16.0 | Onset: | 2007-07-26, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2007-07-26, Days after onset: 0 | | Location: | Kentucky | Entered: | 2007-07-26, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: None | | Diagnostic Lab Data: | | Previous Vaccinations: syncope~Hep A (no brand name)~1~16.20~In Patient | | Other Medications: none | | Preexisting Conditions: None | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV | UNKNOWN MANUFACTURER | unk | 0 | IM | LA | |
| Administered by: Military Purchased by: Unknown | | Symptoms: Eye rolling, Grunting, Loss of consciousness | | Write-up: Received a Gardasil shot. Was talking for about 20 secs, said she was going down and she was out. Nurse ran to get ammonia capsule. Eyes rolled back in her head, arms drew up, making grunting sounds, was out around 45 secs. Took about 20 secs to get her back with the ammonia. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=286082
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