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This is VAERS ID 279321

Case Details

VAERS ID: 279321 (history)  
Age: 21.0  
Gender: Female  
Location: Colorado  
Vaccinated:2007-03-09
Onset:2007-03-11
   Days after vaccination:2
Submitted: 2007-03-12
   Days after onset:0
Entered: 2007-05-23
   Days after submission:72
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Abdominal pain upper, Band neutrophil count increased, Fatigue, Full blood count, Laboratory test normal, Nausea, Pain, Pyrexia, Red blood cell sedimentation rate normal, Syncope, Urine analysis
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Septra, Desogen,
Current Illness:
Preexisting Conditions: HX acne, Asthma, NKDA
Diagnostic Lab Data: CBC, CMP, SR, F/U test neg and UA done on 3/12/07
CDC Split Type:

Write-up: Received HPV #2 at 1315 on 3/09/07. Did become faint immed after but ok after rest and P liquids. Came to clinic on 3/11/07 eve and reports multiple symptoms: fatigue, fever, aches, stomach pain and nausea; returned again on 3/12/07. She believes these s/s were due to HPV vacc. TX: CL''s and rest. Refused RX. Labs WNL with Bands Sl increased.


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