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This is VAERS ID 276328

Case Details

VAERS ID: 276328 (history)  
Form: Version 1.0  
Age: 9.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-04-09
Onset:2007-04-10
   Days after vaccination:1
Submitted: 2007-04-10
   Days after onset:0
Entered: 2007-04-16
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 LA / -

Administered by: Private       Purchased by: Public
Symptoms: Torticollis
SMQs:, Dystonia (narrow), Ocular motility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: 4/2/07 had a febrile illness with vomiting
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Gardasil #1 received 4/9/07 woke up 4/10/07 with acute torticoillis.


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