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This is VAERS ID 274702

Case Details

VAERS ID: 274702 (history)  
Form: Version 1.0  
Gender: Female  
Location: Illinois  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:189
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Chest pain, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0702USA04311

Write-up: Information has been received from a nurse a the daughter of a female patient (demographics not provided) who on 06-SEP-2006 was vaccinated with the first dose of Gardasil (Lot # not provided). The mother reported to the nurse that on 06-SEP-2006 after receiving the vaccination her daughter developed an elevated temperature (actual measurement not provided), nausea and chest pain. The mother reported to the nurse that she gave her daughter Benadryl (dose not provided). It was reported that the nausea, elevated temperature and chest pain resolved "in about three days". Additional information has been requested.

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