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This is VAERS ID 276640

Case Details

VAERS ID: 276640 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-09
Onset:2007-03-16
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthritis, Uveitis
SMQs:, Systemic lupus erythematosus (broad), Ocular infections (broad), Arthritis (narrow)

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:
Current Illness: Mild Pharyngitis
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: Evaluation for Sarcoid neg, evaluation for arthritis pending Records received 4/25/07- Labs: HLA-B27 positive. Rheumatoid factor negative. Angiotensin Converting Enzyme (ACE) 42.
CDC Split Type:

Write-up: B Uveitis (par planitis) treatment with steroids on-going 04/25/07-records received from PCP-eye exam by ophth on 4/5/07-3 week history of blurred vision in left eye. Ocular exam slowed acuities of 20/20 OD and 20/30 OS. Right eye had a few keratic precipitates, trace vitreous cells and a nevus along the superior arcade. Left eye had keratic precipitates, 10 AC cell/hpf, much more vitreous cell, pars plana exudation and mild macular edema. DX:acute bilateral uveitis most like pars planitis. PMH: anxiety.


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