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This is VAERS ID 274663

Case Details

VAERS ID: 274663 (history)  
Age: 9.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-03-08
Onset:2007-03-20
   Days after vaccination:12
Submitted: 2007-03-23
   Days after onset:3
Entered: 2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Abasia, Cyanosis, Joint swelling, Pharyngolaryngeal pain, Pyrexia, Rash, Serum sickness
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: fever, rash, swollen joints (ankles, elbows, shoulders), can''t walk, sore throat, toes blue. Probable Serum sickness


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