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This is VAERS ID 272293

Case Details

VAERS ID: 272293 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:9
Submitted: 2007-02-14
   Days after onset:48
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Headache, Injection site rash, Tenderness
SMQs:, Hypersensitivity (narrow)

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: Tetanus toxoid
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES0701USA00749

Write-up: Information has been received from a physician and the mother of a 12 year old female with pertinent medical history and drug reactions/allergies reported as none who on 19-DEC-2006 was vaccinated with the first dose of Gardasil (lot #655165/1425F). concomitant therapy included tetanus toxoid. On 28-DEC-2006, the patient experienced a rash at the injection site right after receiving the vaccination. The patient also experienced mild headaches almost immediately. A few days later the patient''s headaches became more intense. The patient still experienced intermittent headaches but the severity has not decreased. On 31-DEC-2006, the patient presented to the physician office and complained that she had a headache for four days. The patient was told by the physician to increase the dosage of Motrin. On 01-JAN-2007, the patient presented to the physician office again and stated that she was not better and still had a headache. The physician stated when the patient pressed over her sinus area it seemed tender. The patient was treated with oral antibiotics. The patients headache persisted. Additional information has been requested.

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