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This is VAERS ID 280433

Case Details

VAERS ID: 280433 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Washington  
Vaccinated:2007-05-16
Onset:2007-05-27
   Days after vaccination:11
Submitted: 2007-05-30
   Days after onset:3
Entered: 2007-06-05
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 1 LA / UN

Administered by: Private       Purchased by: Public
Symptoms: Culture throat negative, Lymphadenopathy, Neck pain, Pharyngolaryngeal pain, Pyrexia, Streptococcus identification test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: none
Preexisting Conditions: Cephalexin allergy
Allergies:
Diagnostic Lab Data: Rapid strep (-), Monospot (-), Throat Cx-Beta-stretpococcus not strep A
CDC Split Type:

Write-up: Sore throat/pharyngitis, fever, neck pain cervical lymphadenopathy.


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