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This is VAERS ID 296323
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| VAERS ID: | 296323 | Vaccinated: | 2007-11-20 | | Age: | 17.0 | Onset: | 2007-11-20, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2007-11-10, Days after onset: 10 | | Location: | Georga | Entered: | 2007-11-10, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: ongoing sinus infection - no fever | | Diagnostic Lab Data: xrays, haven't received results yet (11/10/07); | | Previous Vaccinations: | | Other Medications: Unknown | | Preexisting Conditions: none | | CDC 'Split Type': WAES0801USA01707 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | UNKNOWN MANUFACTURER | | 5 | UN | RA | | HPV | UNKNOWN MANUFACTURER | 1287U | 2 | IM | RA | |
| Administered by: Private Purchased by: Private | | Symptoms: Cold sweat, Dyspnoea, Injection site pain, Loss of consciousness, Pain in extremity, Sleep disorder, Syncope, X-ray | | Write-up: Patient received 3rd HPV vaccine and flu shot in right upper arm on 10/19/07. At time vaccine (HPV first) was given she experienced extreme pain described as a line down her arm into her thumb. Patient asked Kaiser employee to wait until the pain subsided some before giving the flu shot. Flu shot was then given in same arm a couple of minutes later. Over the course of the next few weeks, the pain somewhat subsided in the whole arm and was more above the elbow to the injection site. The pain has been so extreme that it has woken the patient from sleep on 3 occasions. Returned to Dr on November 7, 2007 for an evaluation. Dr. ordered shoulder xrays, physical therepy, 600 MG ibuprofin 3X a day until further notice and would consult with another doctor and be in touch about recommendations for further assessment. NOTE:parent observation of injection was that the injection was given in a manner of puncture/poke like compared to more of a pushing the injection into the arm. There was no 'squeezing' of the muscle/arm prior to injection. This is in follow-up to report(s) previously submitted on 2/14/2008. Information has been received from a physician concerning a 17 year old female who on 20-NOV-2007 was vaccinated IM into his left deltoid with a first dose of GARDASIL (lot#655327/1287U). Within 15 minutes, the patient fainted and stopped breathing for a moment. It was reported that the patient sat for 15 minutes and when she walked into the waiting room she passed out for about a minute. The patient was conscious but not talking and clammy. After 10 minutes (approximately) of being monitored the patient became talkative and laughd about what happened with her mother. An ambulance was called but the patient was not admitted to the hospital. Unspecified medical attention was sought. On 20-NOV-2007, the patient recovered. No product quality complaint was involved. Additional information is not expected. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=296323
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