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This is VAERS ID 283794

Case Details

VAERS ID: 283794 (history)  
Age: 21.0  
Gender: Female  
Location: West Virginia  
Vaccinated:2007-02-13
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Dizziness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Body temp, 102F
CDC Split Type: WAES0705USA01743

Write-up: Information has been received from a pharmacist concerning an 18 year old female student with no drug allergies, no medical history, and no illnesses at the time of vaccination, who on 13-FEB-2007 was vaccinated intramuscularly in the right arm with a first dose of Gardasil (Lot# 654741/1208F). Subsequently, in an unspecified date, the patient experienced a fever of 102 F and dizziness. The patient sought unsoecified medical attention. The patient recovered on an unspecified date. No further information was available. Additional information has been requested. Additional information is not expected.


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