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This is VAERS ID 279263

Case Details

VAERS ID: 279263 (history)  
Age: 17.0  
Gender: Female  
Location: Arizona  
Vaccinated:2007-04-05
Onset:2007-04-07
   Days after vaccination:2
Submitted: 2007-05-09
   Days after onset:32
Entered: 2007-05-22
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Public       Purchased by: Public
Symptoms: Headache, Nausea, Pain, Pharyngolaryngeal pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient received Gardasil vaccine 4/5/07 and 2 days later developed fever to 103 body aches, sore throat, nausea, headache.


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