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This is VAERS ID 276145

Case Details

VAERS ID: 276145 (history)  
Age: 15.0  
Gender: Female  
Location: California  
Vaccinated:2007-02-01
Onset:2007-02-01
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:63
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA00708

Write-up: Information has been received from a physician concerning a 15 year old female who in February 2007, was vaccinated with a first dose of Gardasil. The physician reported that the patient developed muscle pain, headache and dizziness after receiving the first dose. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


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