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This is VAERS ID 279542

Case Details

VAERS ID: 279542 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Immune system disorder, Malaise
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA05185

Write-up: Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. Subsequently the patient experienced that she was not feeling well. The patient''s mother felt that the vaccine may have weakened her daughter''s immune system. it was reported that the patient sought unspecified medical attention. the patient had not yet recovered at the time of this report. Additional information has been requested.


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