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This is VAERS ID 279493

Case Details

VAERS ID: 279493 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 - / -

Administered by: Other       Purchased by: Other
Symptoms: Antinuclear antibody increased, Arthralgia, C-reactive protein increased, Red blood cell sedimentation rate normal, Rheumatoid factor negative, Streptococcus identification test positive
SMQs:, Systemic lupus erythematosus (narrow), Arthritis (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Lyme disease assay - Pending erythrocyte - elevated serum C-reactive - elevated serum ANA - minimally elevated serum antistreptolysin - elevated serum rheumatoid factor - negative
CDC Split Type: WAES0704USA04062

Write-up: Initial and follow up information has been received from a physician concerning an 18 year old female patient, with a suspected strep infection on 27-MAR-2007 ("two weeks prior"), who on 09-APR-2007 was vaccinated with the third dose of Gardasil (route and dose not specified). The physician reported that after receiving Gardasil, the patient experienced arthralgia (date not specified). The physician reported that the following diagnostic testing had been performed (dates not specified), antistreptolysin (ASO), elevated, C-reactive protein (CCRP), elevated antinuclear antibodies test (ANA), minimally elevated; erythrocyte sedimentation rate, negative, rheumatoid factor, negative; and testing for Lyme disease, result pending. Patient outcome was unknown, as the physician was unable to contact the patient. Additional information has been requested.

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