Title: Luciano
Author Name: Jul 10, 2012
Author Name: Luciano
Author Email: Luciano
Gardasil is still pretty darn new, which leaves me wanting to wait until some more time elapses and more definitive post-marketing info can be evaluated (easy for me to say this with a very young 10 year-old who still seems far from sex and puberty).- As the fairly high incidence of fainting after Gardasil was increasingly reported, the CDC response was that fainting is common after any kind of vaccination. That just didn't ring true at all for me. I literally can't think of once that an adolescent patient has fainted after a vaccination or other IM shot (although the acute care setting is obviously different than a primary care practice setitng). It seems that now it's more clearly recognized that there is an increased incidence of fainting with Gardasil in particular (mostly within the first 15 min) and the package insert has evolved to reflect that, but it doesn't increase my comfort when a fairly new vaccination/med/procedure's adverse effects (even minor or easily managed ones) are pooh-pooh'd.- Along those lines, I want more info (that I expect to come from post-marketing studies) looking further at the incidence of thromboembolic events in relation to Gardasil. The more data that comes out, the more it seems that in patients without pre-existing risk factors for thromboembolism, Gardasil is not associated with an increased incidence of those events. Studies conducted with predictable and intentional followup for the purpose of monitoring for possible adverse events are more helpful to me (as a parent) than relying on the passive and voluntary VAERS.- All of that being said, my own hesitation on this one and only vaccination is somewhat confusing to me because every physician and friend that I trust recommends it without reservation. But my mom instinct has served me well. I think I just need a little bit more time and your thoughtful wisdom and advice.Hopefully, that won't drive you too crazy when I'm the mom in your office