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This is VAERS ID 279215

Case Details

VAERS ID: 279215 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Wisconsin  
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Chest X-ray normal, Chest discomfort, Neutrophil count, Pyrexia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness: Bacterial infection
Preexisting Conditions: Unk
Diagnostic Lab Data: chest X-ray fine, neutrophil count "shift"
CDC Split Type: WAES0704USA02596

Write-up: Information has been received from a physician concerning a 13 year old female who''s family had been sick with a bacterial infection, including the patient''s sister who was also vaccinated with Gardasil (WAES#0705USA01566) who was vaccinated on an unspecified date with her second dose of Gardasil intramuscularly. "Within about 18 hours after the vaccination," the patient experienced tightness in the chest and throat and a fever of 103 degrees. The physician did a follow-up chest X-ray and the patient was "fine." Other unspecified lab tests revealed a "shift in neutrophils" which led to the physician to believe this was a bacterial-related infection and not a result of Gardasil. The patient was treated with unspecified antibiotics and the condition resolved itself after treatment. Additional information has been requested.

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