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This is VAERS ID 283746

Case Details

VAERS ID: 283746 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: New York  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:43
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Public
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor, Syncope vasovagal, Tinnitus
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hearing impairment (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Dizziness; Nausea, Sweating
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA00613

Write-up: Information has been received from a nurse practitioner concerning a 20 year old female with no known drug allergies and a history of dizziness, nausea and sweating following blood draws, who on 02-MAY-2007 at 14:45 was vaccinated IM into the left deltoid with a second 0.5 ml dose of Gardasil (lot 655205/1426F). There was no concomitant medication. On 02-MAY-2007 at 14:45, the patient experienced dizziness, paleness, sweating, nausea and ringing in ears. It was noted that the reaction appeared to be a vasovagal response to the injection. The patient sought unspecified medical attention. No diagnostic studies were performed. Within one minute, the patient recovered from the ringing in ears. Within a few minutes the rest of the symptoms resolved. it was also reported that the patient was seen for another reason on 08-MAY-2007. Additional information is not expected.

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