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This is VAERS ID 274397

Case Details

VAERS ID: 274397 (history)  
Age: 23.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-03-07
Onset:2007-03-13
   Days after vaccination:6
Submitted: 2007-03-19
   Days after onset:6
Entered: 2007-03-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 LA / -

Administered by: Private       Purchased by: Unknown
Symptoms: C-reactive protein normal, Full blood count normal, Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: CBC, CRP normal
CDC Split Type:

Write-up: None Stated 04/02/07-records received from facility. Developed rash around injection site, pulse 100, felt shaky, tightness in chest and heart felt like it was racing. Feels anxious, agitated, lightheaded. PE:WNL. DX: Anxiety disorder.


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