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This is VAERS ID 283806

Case Details

VAERS ID: 283806 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-04-03
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. 0244U / 2 UN / IM

Administered by: Private       Purchased by: Other
Symptoms: Condition aggravated, Migraine
SMQs:

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Migraine
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02023

Write-up: Information has been received from a medical assistant concerning a female (age not reported) with a history of migraines who was vaccinated with a dose of Gardasil. The medical assistant reported that 48 to 72 hours after vaccination was administered, the patient experienced migraine. The patient sought unspecified medical attention. The patient''s status was not reported. There was no product quality complaint involved. Additional information has been requested. This is in follow-up to report (s) previously sumbmitted on 6/14/2007. Additional information is not expected.


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