National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276870

Case Details

VAERS ID: 276870 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: New Mexico  
   Days after vaccination:1
Submitted: 2007-04-13
   Days after onset:44
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Fatigue
SMQs:, Arthritis (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: None
Current Illness: Seasonal allergy; Glucose intolerance, Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04230

Write-up: Information has been received from a certified medical assistant concerning a 17 year old female with seasonal allergies, glucose intolerance and penicillin allergy who on 06-DEC-2006 was vaccinated IM 0.5 mL, first dose , with Gardasil (lot#653978/0955F). The patient received her second vaccination IM 0.5mL of Gardasil (lot#653978/0955F) on 26-FEB-2007. There was no concomitant medication. On 27-FEB-2007 the patient experienced fatigue and widespread joint pain. No adverse event was reported on the first vaccination. The patient sought unspecified medical attention. Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166