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This is VAERS ID 277669

Case Details

VAERS ID: 277669 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-04-30
   Days after onset:12
Entered: 2007-05-01
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Blood pressure normal, Dizziness, Fatigue, Feeling hot, Heart rate normal, Pallor, Paraesthesia, Sensation of heaviness, Syncope, Thirst
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Syncope; Immunisation
Diagnostic Lab Data: Blood pressure 04/19/06 90/60, total heartbeat count 04/19/06 60
CDC Split Type: WAES0704USA04219

Write-up: Information has been received from a physician concerning a 17 year old female patient with past episodes of fainting with vaccinations who on 18-APR-2007 was vaccinated IM in the left arm with her first dose of Gardasil, lot #657617/0384U. After receiving the injection the patient fainted, which lasted a few seconds. The patient was completely white in the face and she complained that entire body felt like she was burning up. She was not warm to touch and did not have a fever. The patient kept asking for water. She regained color to her face 15 minutes later. She felt tingling for one hour or so both legs and arms and was very dizzy. Her eyes were closed for approximately 1 hour and she felt exhausted. The patient was given smelling salts and when asked if she was aware of what was being done to her, she "smelled violets". She had a fan on her for 30 minutes and she started to feel better. Her blood pressure was taken 2 or 3 times for approximately one hour and her pulse was also monitored. "Blood pressure reading (90/60 normal for patient). Pulse (60 normal for patient) for first 15 to 30 minutes after reaction was very faint." She was very alert one hour later (eyes open and talking) but complained of her legs feeling heavy. The patient had to be wheeled out to her car. The physician did not believe the patient hyperventilated to bring these reactions on herself. The physician believed giving the patient smelling salts, monitoring the blood pressure, pulse and putting the patient in front of a fan to cool her down was another medical event and the patient''s experience was disabling because she went to bed and not able to do anything for rest of the day. Additional information has been requested.

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