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This is VAERS ID 269265

Case Details

VAERS ID: 269265 (history)  
Age:   
Gender: Female  
Location: Wyoming  
Vaccinated:2006-09-08
Onset:2006-09-08
   Days after vaccination:0
Submitted: 2006-12-14
   Days after onset:97
Entered: 2006-12-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Influenza like illness
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0612USA01120

Write-up: Initial and follow up information has been received from a Registered Nurse concerning a female who on the afternoon of 08-Sep-2006 was vaccinated IM with her first dose of HPV vaccine (yeast), lot #653650/0702F, and experienced flu-like symptoms. No medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Within a day or two, the patient recovered. Follow up information indicated the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.


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