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This is VAERS ID 274725

Case Details

VAERS ID: 274725 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Illinois  
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 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Condition aggravated, Fungal infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Current Illness: Asthma, Sulfonamide allergy
Preexisting Conditions: Yeast infection
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA04734

Write-up: This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a consumer concerning her 11 year old daughter with asthma and sulfonamide allergy and a history of yeast infections who in approximately November 2006, was vaccinated with a first dose of Gardasil. Concomitant therapy included ALLEGRA, SINGULAIR, ADVAIR, NASONEX, PROZAC. Subsequently, it was reported that the patient''s "yeast infection has become more severe." Unspecified medical attention was sought. At the time of the report, the patient had not recovered. Additional information was received from a physician who reported that her office did not administer the vaccine to the patient nor had the patient addressed the event with her. The patient''s mother was notified to provide the name of the ordering physician. No further information is available.

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