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This is VAERS ID 282736

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 282736 (history)  
Form: Version .0  
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: Back pain, Blood culture negative, Chest X-ray normal, Culture urine positive, Granulocyte count increased
SMQs:, Retroperitoneal fibrosis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Developed Urinary Tract infection that went to her kidneys and resulted in hospitalization for kidney infection.
CDC Split Type:

Write-up: Urinary tract infection moved into kidneys and caused kidney infection resulting in hospitalization and IV antibiotics.


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http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=282736


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