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This is VAERS ID 269249

Case Details

VAERS ID: 269249 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Michigan  
   Days after vaccination:26
Submitted: 2006-12-14
   Days after onset:15
Entered: 2006-12-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Discomfort, Lymphadenopathy, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: NONE
Current Illness:
Preexisting Conditions: penicillin allergy
Diagnostic Lab Data: complete blood cell "normal"; throat culture "results pending"
CDC Split Type: WAES0612USA00311

Write-up: Information has been received from a registered nurse concerning a 24 year old female with a penicillin allergy and had no other pertinent medical history reported. On 03 Nov 2006, the patient was vaccinated intramuscularly in the right deltoid with a 0.5 mL of Gardasil vaccine (yeast) (Lot # 653736/0868F). There were no concomitant medications reported. On 29 Nov 2006, the patient was examined by the physician and was complaining of swelling of the right cervical lymph node and low grade fever. The physician ordered a complete blood count (CBC), which was normal. On 30 Nov 2006, the patient was re-examinined and the right cervical lymph node had increased in size and the patient had developed swelling of the right axillary lymph nodes, peri-sternal discomfort and extreme malaise. The physician ordered a throat culture and results were pending. The patient was being referred to her internist for follow up. Unspecified medical attention was sought. At the time of this report, the patient had not recovered from the events. Additional information has been requested.

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