National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274698

Case Details

VAERS ID: 274698 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Oklahoma  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:29
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: Influenza like illness, Pyrexia, Rash, Sick relative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), 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: YASMIN, ULTRAM
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Temperature measurement 2/12/07 low grade fever
CDC Split Type: WAES0702USA04298

Write-up: Information has been received from a licensed practical nurse concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 12-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 ml IM. Concomitant therapy included YASMIN and ULTRAM. On 12-FEB-2007, the patient developed a rash on her chest, low grade fever and she felt like she had the flu after receiving the first immunization with Gardasil. Unspecified medical attention was sought. On 13-FEB-2007, the patient recovered. No other information was available at the time of reporting. Additional information has been requested. Additional information was received from the LPN who reported that the events occurred on 13-FEB-2007. The patient''s children were sick at the time. Her symptoms subsided the next day. No additional information is expected.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166