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This is VAERS ID 314847

Event Details

VAERS ID:	314847 (history)	Vaccinated:	2007-08-29
Age:	9.0	Onset:	2007-08-29, Days after vaccination: 0
Gender:	Female	Submitted:	2008-05-16, Days after onset: 261
Location:	Unknown	Entered:	2008-05-23, Days after submission: 7

Life Threatening? No

Died? No

Permanent Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Previous Vaccinations:

Other Medications:

Current Illness:

Preexisting Conditions: None

Diagnostic Lab Data: None

CDC 'Split Type': WAES0708USA05426

Vaccination	Manufacturer	Lot	Dose	Route	Site
VARCEL: VARICELLA (VARIVAX)	MERCK & CO. INC.	658413/1025U		UN	UN

Administered by: Other Purchased by: Other

Symptoms: Immediate post-injection reaction, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow)

Write-up: Information has been received from a health professional concerning a 9 year old female with no pertinent medical history, drug reactions or allergies who on 29-AUG-2007 was vaccinated with a "booster shot" of varicella virus vaccine live (Oka/Merck) (Lot # 658413/1025U). Concomitant therapy included human papillomavirus vaccine (GARDASIL). On 29-AUG-2007 the patient passed out immediately after receiving varicella virus vaccine live (Oka/Merck). There were no lab diagnostic studies performed. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.

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