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This is VAERS ID 276151

Case Details

VAERS ID: 276151 (history)  
Age: 18.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2007-03-02
Onset:2007-03-02
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:34
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / - UN / IM

Administered by: Public       Purchased by: Public
Symptoms: Chest pain
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Smoker; Genital wart
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA00876

Write-up: Information has been received from a registered nurse concerning an 18 year old female smoker (1/2 pack per day) with genital warts who on 02, Mar 2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # 654510/0962F). Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO-CYCLEN). On 02, Mar 2007, the patient experienced chest pain several hours post vaccination. The character and location of the chest pain was unknown. On 04, Mar 2007, the patient recovered from chest pain without medical attention on treatment. No further problem reported. Additional information has been requested.


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