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This is VAERS ID 279601

Case Details

VAERS ID: 279601 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Indiana  
Vaccinated:2007-05-21
Onset:2007-05-22
   Days after vaccination:1
Submitted: 2007-05-23
   Days after onset:1
Entered: 2007-05-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Fatigue, Influenza like illness, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient c/o flu-like symptoms, fatigue, musculoskeletal ache, dizziness.


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