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This is VAERS ID 272278

Case Details

VAERS ID: 272278 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: New Hampshire  
Vaccinated:2006-12-01
Onset:2006-12-01
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:75
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Body temperature increased, Cough, Pyrexia, Sinus congestion
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Cold; upper respiratory tract infection
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: body temperature 12/01?/06 101.5
CDC Split Type: WAES0701USA00406

Write-up: Information has been received from a physician concerning a 24 year old female patient with NKDA who on 01-DEC-2006 was vaccinated into the left deltoid with a first dose of Gardasil (yeast) (lot#653978/0955F). At the time of vaccination the patient had "mild URI symptoms and a cold" with no fevers. In the week following vaccination, the patient developed a temperature of 101.5 and her URI progressed to sinus congestion and cough. Additional information has been requested.


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