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This is VAERS ID 276828

Case Details

VAERS ID: 276828 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-12
Onset:2007-03-14
   Days after vaccination:2
Submitted: 2007-04-13
   Days after onset:30
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Blood test, Chest X-ray, Chest discomfort, Computerised tomogram, Electrocardiogram, Heart rate increased, Lethargy, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: (therapy unspecified)
Current Illness: Contraception; Sulfonamide allergy; Drug hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest X-ray 03/??/07, computed axial 03/??/07, diagnostic laboratory 03/??/07, electrocardiogram 03/??/07
CDC Split Type: WAES0703USA03774

Write-up: Information has been received from a consumer concerning her daughter, a 19 year old female with a sulfonamide allergy and drug hypersensitivity to benzyl peroxide, who was vaccinated with the first dose of Gardasil (date not specified), and on 12-MAR-2007 was vaccinated with the second dose of Gardasil. Concomitant therapy included birth control (unspecified). The consumer reported that after the first vaccination, her daughter''s "arm was sore." On 14-MAR-2007, two days after the second vaccination, the patient developed a fever (unspecified), chest pressure, elevated heart rate (unspecified) and lethargy. The consumer reported her daughter had the following diagnostics performed: "blood test, electrocardiogram (EKG), computed tomography scan (CT), and a chest x-ray, however the results were not reported. It was unknown if the patient''s arm soreness resolved. The patient''s fever, chest pressure, elevated heart rate and lethargy persisted. Additional information has been requested.


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