This is VAERS ID 321093
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| 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 MANUFACTURER | 1740U 8/10 | 1 | IM | RA | |
| 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. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=321093
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