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This is VAERS ID 282183

Case Details

VAERS ID: 282183 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: New York  
Vaccinated:2007-04-16
Onset:2007-06-18
   Days after vaccination:63
Submitted: 2007-06-18
   Days after onset:0
Entered: 2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Ovarian cyst
SMQs:

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: albuterol
Current Illness: none
Preexisting Conditions: Asthma: exercise induced, Pituitary adenoma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: ovarain cyst developed 6-8 weeks after first vaccination with gaurdisil


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