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This is VAERS ID 270245

Case Details

VAERS ID: 270245 (history)  
Form: Version 1.0  
Age: 2.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2006-10-01
Onset:0000-00-00
Submitted: 2007-01-05
Entered: 2007-01-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Malaise, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0612USA00436

Write-up: Information has been received from a health professional who was told by her sister in law that in October 2006, a 24 month old patient was vaccinated by mistake with HPV vaccine. It was reported that the patient became very ill and began vomiting and developed a high fever. It was reported that the patient recovered. Additional information has been requested.


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