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This is VAERS ID 279227

Case Details

VAERS ID: 279227 (history)  
Age: 15.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-26
Onset:2007-03-30
   Days after vaccination:4
Submitted: 2007-05-14
   Days after onset:45
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Fatigue, Pain, Throat irritation
SMQs:, Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Unknown
Current Illness: Sulfonamide allergy.
Preexisting Conditions: Malaise, Upper respiratory tract infection.
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA03108

Write-up: Information has been received from a medical assistant, via a company representative, concerning a 15 year old female patient who had felt ill 2 weeks prior to the vaccination, who on 26-MAR-2007 was vaccinated with the first dose, 0.5ml, of Gardasil. On 30-MAR-2007 ("end of March 2007"), the patient had a low grade temperature (not specified) for one day, had body aches, throat irritation, and felt run down for a few days. The reporter confirmed that on 30-MAR-2007, the patient had recovered from all of the events.No further information is expected.


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