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This is VAERS ID 283319

Case Details

VAERS ID: 283319 (history)  
Age: 15.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-06-19
Onset:2007-06-20
   Days after vaccination:1
Submitted: 2007-06-25
   Days after onset:5
Entered: 2007-06-29
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Cough, Nasal congestion, Sinusitis, Upper respiratory tract infection
SMQs:, Anaphylactic reaction (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: URI~HPV (Gardasil)~2~0.00~In Patient
Other Medications: Yaz birth control pill
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Nasal congestion and cough 1-2 days after vaccine x 3 - Dx URI/ Sinusitis, Treatment Z-Pak.


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