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This is VAERS ID 267445

Case Details

VAERS ID: 267445 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2006-11-14
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Upper respiratory tract infection
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0610USA11832

Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.


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