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This is VAERS ID 274596

Case Details

VAERS ID: 274596 (history)  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-09
Onset:2007-02-22
   Days after vaccination:13
Submitted: 2007-03-14
   Days after onset:19
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Influenza like illness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MANTOUX SKIN TEST
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA04221

Write-up: Information has been received from a consumer concerning her daughter, an 18 year old female patient who on 09-FEB-2007 was vaccinated with the first dose of Gardasil. The caller reported that on 10-FEB-2007, her daughter "had a TB test administered. "On 22-FEB-2007 the patient experienced fever and flu-like symptoms. The patient sought unspecified medical attention. Additional information is not expected.


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