MedAlerts Home
  Read the MedAlerts Blog Subscribe to the MedAlerts Blog 

This is VAERS ID 321093

Case Details

VAERS ID:321093 (history)  Vaccinated:2008-07-23
Age:13.0  Onset:2008-07-23, Days after vaccination: 0
Gender:Female  Submitted:2008-08-01, Days after onset: 9
Location:Tennessee  Entered:2008-08-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER1740U 8/101IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Fall, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: After receiving Gardasil patient fainted and fell to floor. Patient''s vital signs were taken and monitored for about 30 mins after episode.

New Search

Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=321093


Copyright © 2014 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166