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| VAERS ID: | 308192 (history) | Vaccinated: | 0000-00-00 | | Age: | 13.0 | Onset: | 0000-00-00 | | Gender: | Female | Submitted: | 2008-03-07 | | Location: | Ohio | Entered: | 2008-03-19, Days after submission: 11 | |
| 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': WAES0708USA01229 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HEP: HEP B (RECOMBIVAX HB) | MERCK & CO. INC. | | | UN | UN | |
| Administered by: Other Purchased by: Other | Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
| | Write-up: Information has been received from a physician concerning an approximately 13 year old female who "a few years ago" in approximately 2004 was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient fainted after vaccination. No further information was provided. The patient''s outcome was not reported. Additional information is not expected. The patient had a similar experience after vaccination with GARDASIL (MSD) (WAES # 0706USA05225). |
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