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This is VAERS ID 279273

Case Details

VAERS ID: 279273 (history)  
Age: 21.0  
Gender: Female  
Location: New York  
Vaccinated:2007-05-03
Onset:2007-05-04
   Days after vaccination:1
Submitted: 2007-05-04
   Days after onset:0
Entered: 2007-05-22
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Chills, Headache, Influenza like illness, Lethargy, Malaise, Muscle spasms, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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

Write-up: Approximately 16 hrs after receiving 2nd dose of Gardasil, patient experienced flu-like symptoms of chills, muscle/ joint aches, headache, nausea. Four days later, still has lethargy, malaise and muscle spasms in arm.


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