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This is VAERS ID 272318

Case Details

VAERS ID: 272318 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-01-08
Onset:2007-01-10
   Days after vaccination:2
Submitted: 2007-02-14
   Days after onset:35
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Chills, Pain, 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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA01402

Write-up: Information has been received from a physician concerning a 19 year old female who on 08-Jan-2007 was vaccinated with Gardasil (yeast) (lot number 655165/1425F) 0.5 ml intramuscularly. On 10-JAN-2007 the patient experienced 102 degrees F fever, chills and body aches for "the past 10 hours". The patient''s 102 degrees F fever and chills and body aches persisted. Additional information has been requested.


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