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This is VAERS ID 274317

Case Details

VAERS ID: 274317 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Missouri  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-14
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, 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? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Papilloma viral infection
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Body temp 103 deg
CDC Split Type: WAES0702USA03740

Write-up: Information has been received from a physician concerning a female with papilloma viral infection who was vaccinated intramuscularly with a first dose of Gardasil. The next day, the patient developed a high temperature of 103 degrees F. Unspecified medical attention was sought. Subsequently, the patient recovered. The physician plans to continue the series of Gardasil. Additional information has been requested.


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