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This is VAERS ID 279068

Case Details

VAERS ID: 279068 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Pennsylvania  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:45
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Influenza like illness, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Preexisting Conditions: None
Diagnostic Lab Data: body temp 03/31?/07 103 degrees
CDC Split Type: WAES0704USA00908

Write-up: Information has been received from a physician concerning a 26 year old female with no medical history or known drug allergies who on approximately 30-MAR-2007 ("last week") was vaccinated with a 0.5 mL first dose of Gardasil. There was no concomitant medications. On same day after she received the vaccination, the patient experienced arm pain. The next day, the patient started to experience flu like symptoms and developed a fever of 103 degrees. That same day, the patient had started to take MERIDIA. No laboratory diagnostic studies were performed. At the time of this report, the patient was recovering. No product quality complaint was involved. The reporter did not believe that the flu like symptoms and fever of 103 degrees were related to therapy with Gardasil. Additional information is not expected.

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