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This is VAERS ID 277913

Case Details

VAERS ID: 277913 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Ohio  
   Days after vaccination:2
Submitted: 2007-04-30
   Days after onset:56
Entered: 2007-05-04
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 14258 / 1 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Chills, Influenza like illness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre 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: Yasmin-birth control pill
Current Illness:
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: per patient 2-3 days post vaccine "almost flu like" "mild" fever (pt did not take temp). "chills" "felt weak" all sx x 1 day only pt. did not report this until 2 months later

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