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This is VAERS ID 283784

Case Details

VAERS ID: 283784 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:132
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA01608

Write-up: Information has been received from a physician concerning his 15 year old daughter with no drug reactions/allergies and no reported medical history who in approximately February 2007, was vaccinated in the left arm with the first dose of Gardasil. there was no concomitant medication. Three days post-vaccination, the patient developed supraclavicular adenopathy on her left side and a fever of 100.5F. She was treated with ibuprofen and acetaminophen. Subsequently, the patient recovered in two weeks. Additional information has been requested. This is one of two reports received from the same source.

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