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This is VAERS ID 280069

Case Details

VAERS ID: 280069 (history)  
Age: 15.0  
Gender: Female  
Location: Ohio  
Submitted: 2007-05-30
Entered: 2007-05-31
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Encephalitis
SMQs:, Noninfectious encephalitis (narrow), 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? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA04010

Write-up: Information has been received from physician concerning a 15 year old female who was vaccinated with Gardasil. Subsequently the patient may have experienced encephalitis and was hospitalized. The duration of the stay was not provided. The physician reporting was not the physician who administered the vaccine but the treating physician. At the time of the report the patient had recovered. Additional information has been requested.

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