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This is VAERS ID 276833

Case Details

VAERS ID: 276833 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Illinois  
   Days after vaccination:10
Submitted: 2007-04-13
   Days after onset:69
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Pyrexia, Vaccine positive rechallenge, White blood cell count decreased
SMQs:, Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: body temp, 02/02/07, 103.F; body temp 103.F; WBC count; 02/22/07 3.8
CDC Split Type: WAES0703USA03870

Write-up: Information has been received from a physician concerning a 15 year old female patient who on 23-JAN-2007 was vaccinated IM with a first dose of Gardasil, lot#654702/0011u. On an unspecified date, the patient received the second dose of Gardasil, lot #656372/0243U. 10 days after the first injection (on 02-FEB-2007) the patient developed fever of 103F. She developed fever of 103F 6 days after her second dose of Gardasil. The patient recovered completely after the first dose and the status was unknown after the second dose. Medical attention was sought. Additional information has been requested.

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