National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 291407

Case Details

VAERS ID: 291407 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2007-09-10
Onset:2007-09-10
   Days after vaccination:0
Submitted: 2007-09-17
   Days after onset:7
Entered: 2007-09-26
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 3 LA / UN

Administered by: Private       Purchased by: Other
Symptoms: Bradycardia, Dizziness, Mental status changes
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn only
Current Illness: None
Preexisting Conditions: Motrin
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: dizziness, bradycardia, change of mental status no loss of consciousness, no anaphylactic vasovagal O2 given and IVF referred to ER recovered successfully.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=291407


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166