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This is VAERS ID 274328

Case Details

VAERS ID: 274328 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:99
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 2 UN / -

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03841

Write-up: Information has been received from a health professional concerning a 17 year old female who on 04-DEC-2006 in the PM was vaccinated with a second dose of Gardasil (lot # 653735/0688F), in the left deltoid. There was no concomitant therapy. On 04-DEC-2006 the patient experienced "pain, hot, sweating, dizzy, nauseated." On 14-SEP-2006 the patient was vaccinated with a first dose of Gardasil (yeast). Additional information has been requested.

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