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This is VAERS ID 282736

Case Details

VAERS ID: 282736 (history)  
Age: 17.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-05-23
Onset:2007-06-11
   Days after vaccination:19
Submitted: 2007-06-23
   Days after onset:12
Entered: 2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Kidney infection, Urinary tract infection
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: Developed Urinary Tract infection that went to her kidneys and resulted in hospitalization for kidney infection. LABS: UA had 50-100 WBCs, c/s revealed gram neg bacilli. WBC max 31.4, granulos 89.2, monos 8.4, lymphs 5.8. Blood c/s was neg. CXR was WNL. Bilateral renal US was WNL.
CDC Split Type:

Write-up: Urinary tract infection moved into kidneys and caused kidney infection resulting in hospitalization and IV antibiotics. 7/6/07 Received hospital medical records which reveal patient experienced fever, back pain & vomiting while away from home on mission trip. Exam revealed bilat CVA tenderness. Admitted 6/22-6/23/07. D/C to f/u for outpatient oral antibiotics. FINAL DX: Pyelonephritis, resolving. 8/14/07 Received vax record which confirms HPV dose & lot # as reported.


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