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This is VAERS ID 276642

Case Details

VAERS ID: 276642 (history)  
Age: 16.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Anxiety, Insomnia, Mental disorder
SMQs:, Dementia (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0703USA01474

Write-up: Information has been received from a dentist concerning his daughter a 16 year old female who on an unspecified date in approximately February 2007, was vaccinated with the first dose of Gardasil (Yeast) (lot# not provided). Subsequently, "within one week of vaccination" the patient developed extreme anxiety, sleeplessness and was in a "bad psychological state". The patient was seen by a counselor for unspecified treatment. The patient was said to be recovering on an unspecified therapy. Additional information has been requested.


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