This is VAERS ID 264585

Case Details

VAERS ID:	264585 (history)
Form:	Version 1.0
Age:	22.0
Sex:	Female
Location:	Kentucky

Vaccinated:	2006-10-10
Onset:	2006-10-10
Days after vaccination:	0
Submitted:	2006-10-16
Days after onset:	6
Entered:	2006-10-16

Vaccination / Manufacturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0868F / 1	LA / IM

Administered by: Private Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor, Peripheral coldness
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt experienced paleness, sweating, cold hands, nausea, dizziness and lightheadedness.

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