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This is VAERS ID 279655

Case Details

VAERS ID: 279655 (history)  
Age: 19.0  
Gender: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2007-04-16
Submitted: 2007-05-14
   Days after onset:28
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Urinary tract infection
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA00071

Write-up: Information has been received from a physician via a company representative concerning a 19 year old female patient who was vaccinated with 0.5 ml second dose of Gardasil. Subsequently the patient experienced urinary tract infection. Unspecified medical attention was sought. Additional information has been requested.


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