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This is VAERS ID 276664

Case Details

VAERS ID: 276664 (history)  
Form: Version 1.0  
Gender: Female  
Location: South Carolina  
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Headache, Joint stiffness, Musculoskeletal stiffness
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA02342

Write-up: Information has been received from a physician concerning a female who on 05-MAR-2007 was vaccinated with a dose of Gardasil (yeast) (lot # 654747/1208F). In March 2007, "a few days after receiving the shot" the patient experienced headache, dizziness, stiff neck and shoulders. Unspecified medical attention was sought. The patient''s headache, dizziness, stiff neck and shoulders persisted. No product quality complaint was involved. Additional information has been requested.

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