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This is VAERS ID 271141

Case Details

VAERS ID: 271141 (history)  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-01
Onset:2006-12-01
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:46
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other       Purchased by: Other
Symptoms: Influenza like illness, Pain
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA03390

Write-up: Initial and follow-up information has been received from a health professional concerning a 14 year old female who in "early" December 2006, was vaccinated with Gardasil. There was no concomitant medication. Subsequently in "early" December 2006, the patient experienced flu-like symptoms and pain for about 4 days after injection. The sought unspecified medical attention. No diagnostics were performed. Subsequently, in "mid-December" the patient recovered from flu-like symptoms and pain for about 4 days after injection. Additional information has been requested.


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