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This is VAERS ID 273430

Case Details

VAERS ID: 273430 (history)  
Age: 18.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-03-01
Onset:2007-03-02
   Days after vaccination:1
Submitted: 2007-03-05
   Days after onset:3
Entered: 2007-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1860AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2340AA / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Chills, Headache, Injection site pain, Injection site swelling, Musculoskeletal stiffness, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient awakened early 3/2/07 with fever, chills, nausea and headache. L arm at injection site was tender and puffy. Temperatures ranged from 100.8 to 102.0 throughout the day. 3/3/07-c/o nausea, headache and temp of 100.0 3/4/07- c/o headache and stiff neck. 3/5/07-c/o headache


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