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This is VAERS ID 279467

Case Details

VAERS ID: 279467 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: California  
Vaccinated:2007-02-21
Onset:2007-02-22
   Days after vaccination:1
Submitted: 2007-04-25
   Days after onset:61
Entered: 2007-05-24
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 LA / UN

Administered by: Other       Purchased by: Unknown
Symptoms: Headache, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Stated temp-(not taken) nausea headache-felt ill all over-


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