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This is VAERS ID 276125

Case Details

VAERS ID: 276125 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Illinois  
   Days after vaccination:2
Submitted: 2007-04-06
   Days after onset:40
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Body temperature increased, Diarrhoea, Erythema, Full blood count abnormal, Myalgia, Platelet count normal, Pyrexia, Rash erythematous, Rash maculo-papular, Rash pruritic, Red blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (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: None
Diagnostic Lab Data: body temp 02/26/07 101 F; erythrocyte, 03/11/07, 32; platelet count, 03/11/07, 119; complete blood cell, 03/11/07, 14.4, 44.5, 4.3
CDC Split Type: WAES0703USA00432

Write-up: Information has been received from a physician concerning a 18 year old female with no relevant medical history of illness at the time of vaccination who on 22-FEB-2007 was vaccinated with a first dose of Gardasil in the left deltoid (lot # 655503/0012U). On 24-FEB-2007, the patient complained of myalgias. On 25-Feb 2007, the patient developed diarrhea. On 26-Feb-2007, the patient developed fever of 101F that lasted for several days. On 28-FEB-2007, the patient developed a red, itchy maculopapular rash on the upper body from the waist up. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient was seen by the physician on 01-Mar-2007. The patient''s fever resolved on 02-Mar-2007. The patient''s rash resolved on 02-Mar-2007. The pateint''s rash resolved on 09-Mar-2007. The patient was considered recovered on 10-Mar-2007. No additional information is expected.

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