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This is VAERS ID 279213

Case Details

VAERS ID: 279213 (history)  
Age: 17.0  
Gender: Female  
Location: Oklahoma  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA02554

Write-up: Information has been received from a physician concerning a 17 year old female who was vaccinated with a first 0.5 ml dose of Gardasil concomitantly with a dose of MENACTRA. The day after vaccination, the patient experienced low grade fever and aching. Unspecified medical attention was sought. Subsequently, the patient recovered. On an unspecified date the patient was vaccinated with a second dose of Gardasil by itself and there was no reaction. Additional information is not expected.


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