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This is VAERS ID 273789

Case Details

VAERS ID: 273789 (history)  
Age: 17.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-03-09
Onset:2007-03-10
   Days after vaccination:1
Submitted: 2007-03-12
   Days after onset:1
Entered: 2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00130 / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1968AA / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Body temperature increased, Chills
SMQs:, Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prevacid 30mg Q day / Allegra
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Elevated temp and chills approx. 16 hours after vaccine given


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