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This is VAERS ID 308192

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID: 308192 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-03-07
Entered: 2008-03-19
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK 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), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA01229

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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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170914&IDNUMBER=308192


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