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This is VAERS ID 271149

Case Details

VAERS ID: 271149 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: Pennsylvania  
Vaccinated:2006-08-25
Onset:0000-00-00
Submitted: 2007-01-16
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Herpes virus infection
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0612USA03950

Write-up: Information has been received from a certified medical assistant concerning a patient who on 25 Aug 2006 was vaccinated with a first dose of Gardasil, intramuscularly. Subsequently the patient developed a herpes virus infection. The patient''s pediatrician had concluded that the infection was not due to Gardasil. It was also reported that the patient''s second dose was delayed because some time after the first dose, because she developed the herpes virus infection. Additional information has been requested.


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