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This is VAERS ID 279165

Case Details

VAERS ID: 279165 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-15
Onset:2007-03-22
   Days after vaccination:7
Submitted: 2007-05-14
   Days after onset:53
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Laboratory test, Liver function test, Lymphadenopathy
SMQs:, 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: diagnostic laboratory ?/?/07 - checked cells for cancer - results not reported, hepatic function tests ?/?/07 - results not reported
CDC Split Type: WAES0704USA01072

Write-up: Information has been received from the father of a 22 year old female consumer who on approximately 15-MAR-2007 (about three weeks ago) was vaccinated with the second dose of Gardasil, injection. Concomitant medication was not reported. On approximately 22-MAR-2007 a week after getting the second dose of Gardasil, the patient experienced swelling in her lymph nodes and shoulder nodes. The patient sought unspecified medical attention and her cells were checked for cancer and liver tests were performed. The patient''s swelling in lymph nodes and shoulder nodes persisted. Additional information has been requested.


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