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This is VAERS ID 290653
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| VAERS ID: | 290653 | Vaccinated: | 2007-09-07 | | Age: | 11.0 | Onset: | 2007-09-07, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2007-09-15, Days after onset: 8 | | Location: | Minnesota | Entered: | 2007-09-15, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV | UNKNOWN MANUFACTURER | | | | | | TDAP | UNKNOWN MANUFACTURER | | | | | | VARCEL | UNKNOWN MANUFACTURER | | | | | |
| Administered by: Private Purchased by: Unknown | | Symptoms: Asthenia, Dyskinesia, Dysphonia, Fall, Headache, Pallor, Speech disorder, Syncope | | Write-up: Nurse had my daughter sitting on the edge of the exam table. She administered HPV and my daughter fainted, fell off exam table head first and had a mild jerking episode. She was pale and had a headache when she woke up. She was hoarse and weak and couldn't speak easily. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=290653
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