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This is VAERS ID 279169

Case Details

VAERS ID: 279169 (history)  
Age: 26.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-10-08
Onset:2006-10-08
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:218
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / - UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Insomnia
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA01200

Write-up: Information has been received from a physician concerning a 26 year old female who on 08-OCT-2007 was vaccinated with her first dose of Gardasil (lot # 653736/0689F). Concomitant therapy included Yasmin. The patient received her second dose of Gardasil (lot # 653736/0689F) on 08-DEC-2006 and her third dose (lot # 653736/0014U) on 03-APR-2007. The patient experienced insomnia after each dose was given. No lab diagnostics were performed. Subsequently she recovered. No further information is available.


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