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This is VAERS ID 345220

Case Details

VAERS ID: 345220 (history)  
Age: 15.0  
Gender: Female  
Location: Texas  
Vaccinated:2009-03-06
Onset:2009-03-06
   Days after vaccination:0
Submitted: 2009-04-14
   Days after onset:38
Entered: 2009-04-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Dizziness
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0903USA02323

Write-up: Information has been received from a physician concerning a 15 year old female who on 06-MAR-2009 was vaccinated with GARDASIL IM 0.5ml. Concomitant therapy included a recent shot of DEPO-PROVERA. The patient experienced dizziness on 06-MAR-2007, 07-MAR-2009 and 09-MAR-2009. The physician did not say if there was any dizziness occurring on 08-MAR-2009. The patient "had to leave school". The patient sought unspecified medical attention. Dizziness was considered to be disabling. Additional information has been requested.


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