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This is VAERS ID 279652

Case Details

VAERS ID: 279652 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:16
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Depression, Fatigue
SMQs:, Depression (excl suicide and self injury) (narrow)

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: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA00058

Write-up: Information has been received from a nurse concerning a 26 year old female patient who on 27-APR-2007 was vaccinated IM with a 0.5 ml first dose Gardasil. There was no concomitant medication. Since 28-APR-2007 the patient felt depressed and fatigued. Unspecified medical attention was sought. Additional information has been requested.

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