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This is VAERS ID 265808

Case Details

VAERS ID: 265808 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Maryland  
Vaccinated:2006-10-06
Onset:2006-10-07
   Days after vaccination:1
Submitted: 2006-10-30
   Days after onset:23
Entered: 2006-11-01
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Chills, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Estrostep
Current Illness: NONE
Preexisting Conditions: allergic to Penicillin.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nausea and vomiting, fever 99 degrees F- 100 degrees F, chills for 3 days.


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