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Life Threatening? No
Write-up: ADVERSE REACTION: Postural orthostatic tachycardia syndrome (POTS), chronic fatigue syndrome. THE COURSE REGARDING THE ADVERSE REACTION: Last GARDASIL administrated on 12-MAY-2009, during the autumn of 2009 increasing symptoms. OTHER VACCINES: No. Criteria for the diagnosing of POTS: 1) Heart rate increases greater than or equal to 30 bpm from supine to standing (10 min) in the absence of orthostatic hypotension (decrease in BP greater than 20/10 mmHg). 2) Symptoms worsen with standing and improved with recumbence. 3) Symptoms last greater than or equal to 6 months. 4) Absence of other overt cause of orthostatic symptoms or tachycardia (e.g., active bleeding, acute dehydration, medications). In addition Hospital /(where the patient is followed) uses further a criterion for patients between 12-19 years: Requires a pulse increase greater than 40 bpm to make the diagnosis, with the justification, that young people have a stronger physiological pulse response to standing up. They use this additional criterion to avoid false positive.
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