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This is VAERS ID 278063

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 278063 (history)  
Form: Version .0  
Age: 21.0  
Gender: Female  
Location: New York  
Vaccinated:2007-01-09
Onset:2007-03-06
   Days after vaccination:56
Submitted: 2007-05-07
   Days after onset:61
Entered: 2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Activated partial thromboplastin time shortened, Back pain, Chest X-ray, Chest pain, Computerised tomogram thorax abnormal
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Birth control pills
Current Illness: none
Preexisting Conditions: none. PMH: Recent travel with 2 flights x 3hrs. On BCP.
Allergies:
Diagnostic Lab Data: See hospital records. Labs and Diagnostics: CT chest 3/19/07 showed bilateral pulmonary emboli and consolidation in the RLL. Possible necrosis in the middle of the RLL. CXR 3/20/07 shows some improvement. CBC showed WBC of 14.7 INR 1.01
CDC Split Type:

Write-up: Traveled from 3/3/07-3/10/07. On 3/6/07 had calf pain that traveled to the thigh. On 3/19/07, went to Medical Center ER for severe pain in lower back. Two large clots found in lung (pulmonary embolus). Admitted for heparin treatment for a few days. Discha"rged on Coumadin for 6 months. Has lingering pain in lower back and damage to the lung. Had started taking BCP''''s for the first time in approx. Feb. 0f 2007. Had genetic testing done after the pulmonary embolus which showed that she has a prothrombin gene


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