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This is VAERS ID 274288

Case Details

VAERS ID: 274288 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Minnesota  
Vaccinated:2006-12-15
Onset:2006-12-15
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:88
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Adverse event, Dizziness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (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
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03157

Write-up: Information has been received from a registered nurse concerning a female who on approximately 15-DEC-2006 was vaccinated with a 0.5 ml dose of Gardasil. On approximately 15-DEC-2006 the patient developed high fever, dizziness and "several adverse events." Unspecified medical attention was sought. At the time of the report, the patient was recovering and the physician discontinued further series of Gardasil. Additional information has been requested.


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