National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 271011

Case Details

VAERS ID: 271011 (history)  
Form: Version 1.0  
Age: 1.5  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-01-11
Onset:2007-01-11
   Days after vaccination:0
Submitted: 2007-01-12
   Days after onset:1
Entered: 2007-01-24
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 1 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Chills, Headache, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral contraceptives, Zyrtec, Zomig
Current Illness: NONE
Preexisting Conditions: Seasonal, environmental allergies, migraine HA, Eczema, Allergies to pineapple, tomatoes, bananas.
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Onset fever 103.0-103.6 F (orally) 6 hours post injection chills, mild headache, mild pain at injection site. Resolved by 12 hours, except for mild pain at injection site.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271011


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166