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This is VAERS ID 279523

Case Details

VAERS ID: 279523 (history)  
Age: 16.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-03-09
Onset:2007-03-09
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:65
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Patent ductus arteriosus repair
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA04661

Write-up: initial and follow up information has been received from a physician, concerning his 16 year old daughter, with a history of patient ductus arteriosis (PDA) ligation who on 11-JUL-2006 was vaccinated with the first dose of Gardasil, on 23-Oct-2006, with the second dose of Gardasil and on 06-APR-2007 was vaccinated, IM, with the third dose of Gardasil. The physician reported that on 07-APR-2007, the day following the vaccination, his daughter experienced flu-like symptoms, was extremely nauseated, and had severe malaise that lasted for three to four days after the vaccine had been administered and then recovered (approximately 12-MAR-2007). The patient''s sister also experienced flu-like symptoms and nausea and malaise after vaccination with Gardasil (WAES #0704USA05005). Additional information is not expected.


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