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This is VAERS ID 279190

Case Details

VAERS ID: 279190 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Connecticut  
Vaccinated:2007-03-01
Onset:2007-03-15
   Days after vaccination:14
Submitted: 2007-05-14
   Days after onset:60
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Arthritis, Uveitis
SMQs:, Systemic lupus erythematosus (broad), Ocular infections (broad), Arthritis (narrow)

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: Unknown. Records received 5/25/07-ACE serum 42. Albumin 4.8. HLA-B27 positive. ANA screen negative. Rheumatoid factor 5. ESR 4.
CDC Split Type: WAES0704USA01692

Write-up: Information has been received from a physician concerning a 16 year old female who in the "beginning of March" on approximately 01-MAR-2007 was vaccinated with Gardasil. "Approximately one to two weeks after receiving the first dose of Gardasil on approximately 15-MAR-2007 the patient experienced symptoms of uveitis. The diagnosis was confirmed with the patient''s eye doctor. The physician noted that it could be related to arthritis. Additional information has been requested. 05/25/07-records received. Ocular inflammation, with 3 week history of blurry vision in left eye. Impression. Acute bilateral uveitis seems most like pars planitis.


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