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This is VAERS ID 273547

Case Details

VAERS ID: 273547 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Virginia  
Vaccinated:2007-02-21
Onset:2007-02-22
   Days after vaccination:1
Submitted: 2007-02-23
   Days after onset:1
Entered: 2007-03-07
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / UNK LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Body temperature decreased, Headache, Influenza like illness, Neck pain
SMQs:, Arthritis (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:
Current Illness: NONE
Preexisting Conditions: Amoxicillin, PCN
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headaches, low grade temp 100 degrees, neck pain, flu-like symptoms. Patient was treated by her family.


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