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This is VAERS ID 276675

Case Details

VAERS ID: 276675 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: New York  
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:132
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Balance disorder, Influenza like illness, Injection site pain
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (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: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA02806

Write-up: Information has been received from a physician concerning a 22 year old female who in October 2006, was vaccinated with the first dose of Gardasil. There was no concomitant medication. In December 2006, the patient was vaccinated with the second dose of Gardasil. The patient experienced injection site pain. Five days later, she experienced flu like symptoms and unsteadiness. Subsequently, the patient recovered from injection site pain. The flu like symptoms resolved after 7 days. The patient''s unsteadiness lasted for 14 days. No lab testing was performed. Additional information has been requested.

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