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This is VAERS ID 279045

Case Details

VAERS ID: 279045 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: South Carolina  
Vaccinated:2007-01-14
Onset:2007-01-15
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:118
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 LA / IJ

Administered by: Private       Purchased by: Other
Symptoms: Hot flush, Vaccine positive rechallenge
SMQs:

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0704USA00422

Write-up: Information has been received from a nurse practitioner concerning a teenage female (age not reported) who on unspecified dates was vaccinated with the first and second doses of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified dates, the patient developed hot flashes after her first and second doses of Gardasil. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. The outcome and action taken with regards to therapy with Gardasil was not reported. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/17/2007. Information has been received from a nurse practitioner concerning a 20 year old female with no illness at the time of being vaccinated who on 14-JAN-2007 was vaccinated with the first dose of GARDASIL (lot # 654389/0961F) injection in the left deltoid at 4:30 PM. On 06-MAR-2007, the patient was vaccinated with the second dose of GARDASIL (lot # 654741/0013U) injection in the left deltoid at 11:30 AM. The patient was not on concomitant medication. On 15-JAN-2007 and 07-MAR-2007, the patient developed hot flashes after her first and second dose of GARDASIL respectively. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. On unspecified dates, the patient recovered from the hot flashes. No additional information is expected.


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