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This is VAERS ID 283547

Case Details

VAERS ID: 283547 (history)  
Age: 25.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-06-25
Onset:2007-06-25
   Days after vaccination:0
Submitted: 2007-06-27
   Days after onset:2
Entered: 2007-07-02
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03884 / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Body temperature increased, Fatigue, Headache, Influenza like illness, Loss of consciousness, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LO-OVRAL
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Gardasil given 6/25/07. Patient reports flu-like symptoms, nausea temperature 102 during night of 6/25/07- 6/26/07 flu-like symptom. Nausea continued, loss of consciousness "few minutes" at work. Has bad headaches, abdominal pain "feels like some one has hit me". C/O fatigue.


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