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This is VAERS ID 276164

Case Details

VAERS ID: 276164 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-06
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Body temperature increased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (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
Allergies:
Diagnostic Lab Data: body temp, 01/??/07, 102.5
CDC Split Type: WAES0703USA01086

Write-up: Information has been received from a physician concerning a 15 year old female patient who in January 2007 was vaccinated with a second dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). The patient developed a fever of 102.5F for 3 days after her injection. The patient missed one day of school. Unspecified medical attention was sought. The patient recovered. Additional information has been requested.


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