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This is VAERS ID 274600

Case Details

VAERS ID: 274600 (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
SMQs:, Neuroleptic malignant 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:
Preexisting Conditions: Ppailloma viral infection
Allergies:
Diagnostic Lab Data: body temp, 103 degr
CDC Split Type: WAES0702USA04285

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 HPV. The next day, the patient developed a high temperature if 103 degrees F. Unspecified medical attention was sought. Subsequently, the patient recovered. The physician plans to continue the series of HPV. Additional information has been requested.


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