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This is VAERS ID 273908

Case Details

VAERS ID: 273908 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Illinois  
   Days after vaccination:39
Submitted: 2007-03-13
   Days after onset:29
Entered: 2007-03-14
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Eosinophil count increased, Headache, Neck pain
SMQs:, Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: eosinophil count 02/11/07 - elevated
CDC Split Type: WAES0703USA00867

Write-up: Information has been received from a registered nurse concerning a 16 year old female who on 03-JAN-2007 was vaccinated with Gardasil (lot # not reported). On 11-FEB-2007, the patient experienced neck pain, and headache. Medical attention was sought. The patient was hospitalized. The patient had an "eosinophil type reaction" also. Laboratory evaluation revealed elevated eosinophils. The outcome of the neck pain, headache, and eosinophil type reaction was snot reported. No further information was available at the time of reporting. Additional information has been requested.

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