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This is VAERS ID 276839

Case Details

VAERS ID: 276839 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:62
Submitted: 2007-04-13
   Days after onset:70
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data:
CDC Split Type: WAES0703USA03925

Write-up: Information has been received from a physician concerning a 17 year old female who on 01-DEC-2006 was vaccinated with the first dose of Gardasil. IM. Concomitant medication was not reported. In February 2007, the patient went to the physician''s office for the second dose of Gardasil but the patient had a fever and was sick, so the second dose was not given. On 20-MAR-2007, the patient received the second dose of Gardasil. Subsequently on an unspecified date, the patient recovered from the events. The causality of the events was not reported. Additional information has been requested.

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