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This is VAERS ID 272617

Case Details

VAERS ID: 272617 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:10
Submitted: 2007-02-14
   Days after onset:24
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Lymph node pain, Malaise
SMQs:, 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: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA00147

Write-up: Information has been received from a physician concerning an approximately 20 year old female, with no medical history, who on 11-JAN-2007 was vaccinated intramuscularly with a first dose of HPV vaccine (yeast). Concomitant therapy included hormonal contraceptives (unspecified). On approximately 21-JAN-2006 the patient developed bilateral tender lymph nodes and malaise. Unspecified medical attention was sought. At the time of the report, the patient''s bilateral tender lymph nodes and malaise persisted. There were no laboratory or diagnostic tests performed. Additional information has been requested.

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