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This is VAERS ID 276867

Case Details

VAERS ID: 276867 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: New Jersey  
   Days after vaccination:1
Submitted: 2007-04-13
   Days after onset:31
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLONASE; PONSTEL
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Body temp 03/13/07 104F
CDC Split Type: WAES0703USA04190

Write-up: Information has been received from a registered nurse concerning a 17 year old female with no pertinent medical history or drug reactions/allergies who on 12-MAR-2007 was vaccinated with Gardasil (yeast) (lot # 657006/0188U). Concomitant therapy included FLONASE and PONSTEL. On 13-MAR-2007 the patient experienced a fever of 104F. Unspecified medical attention was sought. The patient missed school and was treated with acetaminophen (TYLENOL). Subsequently, the patient recovered from the fever. Additional information has been requested.

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