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This is VAERS ID 391167

Case Details

VAERS ID: 391167 (history)  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-06-21
Entered: 2010-06-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1006USA02403

Write-up: Information has been received from a physician concerning a 14 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (dose, route, and lot# not reported). On an unspecified date the patient experienced tachycardia while going through the GARDASIL series and was hospitalized. The patient''s tachycardia persisted. Tachycardia was considered to be disabling by the reporter. Additional information has been requested.


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