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This is VAERS ID 272592

Case Details

VAERS ID: 272592 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: California  
Vaccinated:2006-12-15
Onset:2006-12-29
   Days after vaccination:14
Submitted: 2007-02-14
   Days after onset:47
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Fungal infection, Immune system disorder, Pharyngolaryngeal pain, Rash, Sinusitis, Vaginal infection, Vulvovaginal candidiasis
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), 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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA04758

Write-up: Information has been received from a physician concerning a female (age not reported) with no medical history and no known allergies reported on 15-Dec-2006 (previously reported as being approximately JAN-2007 and 15-Feb-2006), the patient was vaccinated with Gardasil intramusculary (Lot # 653735/0688F). Subsequently, the patient developed a weakened immune system, yeast infection, sore throat, sinusitis and had a rash on her leg that was lasting several days. At the time of this report, the outcome of the events were unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007, 4/6/2007. Initial and follow up information has been received. There were no known illnesses noted at the time of vaccination. On approximately 29-Dec-2006, two weeks after vaccination, the patient developed a rash on her legs, lasting two weeks, sinusitis (previously reported to have developed a weakend immune system), a sore throat, and condidal vaginitis. On 26-Jan-2007, the patient had recovered from the events. The patient was seen by her physician when the symptoms had resolved. No further information is availble. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow up information has been received from a physician concerning a 25 year old female with no medical history and no known allergies reported. On approximately 15-JAN-2007 (conflicting information also reported as 15-FEB-2008), the patient was vaccinated intramuscularly with the first dose of GARDASIL (Lot# 653735/0688F). There were no known illnesses noted at the time of vaccination. On unspecified dates, soon after the vaccination, the patient developed a sore throat (previously reported to have developed a weekend immune system and sinusitis). The patient then developed a rash on her legs lasting two weeks and then a yeast infection (vaginitis). On 26-JAN-2007, the patient had reported from the events. No further information is available.


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