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This is VAERS ID 272597

Case Details

VAERS ID: 272597 (history)  
Age: 20.0  
Gender: Female  
Location: California  
Vaccinated:2007-01-18
Onset:2007-01-28
   Days after vaccination:10
Submitted: 2007-02-14
   Days after onset:17
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA04897

Write-up: Information has been received from a physician concerning his 20 year old female daughter with no other pertinent medical history reported. On 18-JAN-2007, the patient was vaccinated IM with the first 0.5 ml dose of Gardasil (yeast). There were no concomitant medications reported. On 28-JAN-2007, the patient developed unilateral supraclavicular lympadenopathy. There were no other symptoms reported. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the event. Additional information has been requested.


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