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This is VAERS ID 279483

Case Details

VAERS ID: 279483 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:242
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Pyrexia, Reaction to previous exposure to any vaccine
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: FLUZONE
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA03744

Write-up: Information has been received from a physician''s nurse concerning her 14 year old daughter who on 14-SEP-2006 was vaccinated with the first dose Gardasil (lot #653735/0688F). Concomitant therapy included Fluzone. On 09-NOV-2006, the patient received the second dose of Gardasil (lot653735/0688F). On 21-MAR-2007, the patient received the third dose of Gardasil (lot #655503/0012U). The nurse reported that after her daughter received all three injections, she experienced a high fever of 103-104 degrees fahrenheit. The fever resolved each time after about one day. Additional information has been requested.

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