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This is VAERS ID 274284

Case Details

VAERS ID: 274284 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:49
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Pharyngolaryngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: temperature measurement 01/23/07 100, temperature measurement 01/23/07 104.8
CDC Split Type: WAES0702USA03124

Write-up: Information has been received from a nurse concerning a 17 year old female patient with pertinent medical history and drug reactions/allergies reported as unspecified on 23-JAN-2007 was vaccinated with Gardasil (lot # not reported) injection. On an unspecified date, the patient went to the hospital with a sore throat and a fever of 100 degrees. After receiving the Gardasil injection, her temperature went to 104.8 degrees on 23-JAN-2007. The physician administered antibiotics for her sore throat. The outcome of the events was unspecified. Additional information has been requested.

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