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This is VAERS ID 277623

Case Details

VAERS ID: 277623 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-04-27
Onset:2007-04-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2007-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03884 / 3 LA / -

Administered by: Public       Purchased by: Other
Symptoms: Chills, Dizziness, Headache, Influenza like illness, Injection site pain, Vaccine positive rechallenge
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (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:
Current Illness: None
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: In addition to mild tenderness at injection site, flu like symptoms; headache, light headed, chills. No SOB. Milder symptoms with prior Gardasil (Both) symptomatic treatment and reassurance.


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