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This is VAERS ID 451952

Case Details

VAERS ID: 451952 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2012-03-15
Entered: 2012-03-16
   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: Coma, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1203USA00909

Write-up: Information has been received from a retired physician concerning a female patient (young girl) (age unknown) who on an unknown date was vaccinated with a dose of GARDASIL (lot number, dose and route not reported). The physician stated that he knew that the patient had a reaction to GARDASIL. On an unknown date, the patient fainted in the office (name of the office unspecified) and later was hospitalized, released (date unspecified). At the time of reporting, the patient had not recovered and was hospitalized and in coma. Coma was considered to be immediately life-threatening and disabling per retired physician. No further information is available.


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