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This is VAERS ID 272307

Case Details

VAERS ID: 272307 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-11-09
Onset:2006-11-09
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:97
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Chills, Pyrexia
SMQs:, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: penicillin (unspecified)
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: test, date, value unit, normal range, comment body temp, 11/10/06, 102.7 degr
CDC Split Type: WAES0701USA01050

Write-up: Information has been received from a physician concerning a 20 year old female patient with no allergies or medical history who on 09-NOV-2006, was vaccinated with the first 0.5 L, dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot unspecified). Concomitant therapy included penicillin. On 09-NOV-2006, at 1:30 P.M., the patient developed chills and fever of 102.7 degrees on 10-NOV-2006 at 7:00 P.M. The patient did not seek medical attention. The patient treated herself with acetaminophen (TYLENOL). The patient''s symptoms lasted until noon on 11-NOV-2006. Additional information has been requested.


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