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This is VAERS ID 279526

Case Details

VAERS ID: 279526 (history)  
Age:   
Gender: Female  
Location: New Mexico  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Dizziness, Feeling cold, Hypoaesthesia, Hypotension, Injection site pain, Mobility decreased, Pyrexia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Unknown
Diagnostic Lab Data: body temp 99.1; body temp 101
CDC Split Type: WAES0704USA04725

Write-up: Information has been received from a physician concerning a female who was vaccinated intramuscularly with a first dose of Gardasil (lot # "0014V"). Almost immediately after the vaccination, the patient experienced pain at the injection site, cold and numbness is her left arm and was unable to make a fist with her left hand. Seven minutes later the patient experienced dizziness. The physician reported that the patient''s blood pressure lower then normal at that time. Fourteen minutes later the patient developed a fever of 101 degrees. The patient was treated with ibuprofen 600 mg. Twenty-five minutes later patient''s fever 99.1 degrees and her other vital signs were stable. Subsequently, the patient recovered and was sent home. Additional information has been requested.


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