National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 271113

Case Details

VAERS ID: 271113 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Maryland  
Vaccinated:2006-12-13
Onset:2006-12-13
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:34
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Body temperature increased, Headache, Lymphadenopathy, Neck pain, Pyrexia, Sinusitis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (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: LEXAPRO ORTHO TRI CYCLEN LO ALLEGRA ADVAIR SINGULAIR
Current Illness: Cold; Mycotic allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: body temperature, 12/13/06, 101.4 degrees F, fever body temperature, 12/13/06, 99.1 degrees F
CDC Split Type: WAES0612USA02568

Write-up: This is in follow-up to report(s) previously submitted on 1/16/2007. Information has been received from a certified medical assistant concerning a 19 year old female with a mold allergy who on 13-Dec-2006 was vaccinated IM into the left deltoid with a 0.5 ml dose of Gardasil vaccine (yeast) (lot# 654540/0800F). Concomitant therapy included Advair, Allegra, montelukast sodium, Ortho-Tri-Cyclen Lo and Lexapro. Illness at the time of vaccination included a cold. On 13-Dec-2006 the patient experienced a fever of 101.4 degrees F, head pain, neck pain and swollen glands. Her fever decreased to 99.1 degrees F. On 14-Dec-2006, she called the office to report these events. The patient was seen in the office and was diagnosed with sinusitis and the doctor said it was not related to the vaccine. Unspecified medical attention was sought. At the time of this report, the patient was recovering. No product quality complaint was involved. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271113


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