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This is VAERS ID 274319

Case Details

VAERS ID: 274319 (history)  
Age: 15.0  
Gender: Female  
Location: Arkansas  
Vaccinated:2007-02-19
Onset:2007-02-19
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:22
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 GM / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza like illness, Injection site pain, Malaise, Pain, Pain in extremity, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03754

Write-up: Information has been received from a physician concerning a 15 year old female with no pertinent medical history and history of drug reactions/allergies unspecified who on 19-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 IM. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 15 year old female with no illness at the time of being vaccinated and no pertinent medical history and history of drug reactions/allergies who on 19-FEB-2007 was vaccinated with first dose of GARDASIL (lot # 656372/0243U) 0.5 ml IM in the left hip. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information was received from the physician. On 19-FEB-2007, in the evening, the patient experienced pain at the injection site, associated hip and leg pain, mild swelling, headache, general malaise, and arthralgias. The events were reported as non-serious. On an unspecified date, the patient recovered. No additional information is expected.


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