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This is VAERS ID 283936

Case Details

VAERS ID: 283936 (history)  
Age: 19.0  
Gender: Female  
Location: New York  
Vaccinated:2007-05-08
Onset:2007-05-08
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:37
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Headache, Lethargy, Lymphadenopathy, Pharyngolaryngeal pain
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA02220

Write-up: Information has been received from a nurse concerning a 19 year old female with no drug reactions/allergies and no reported medical history who on 08-MAY-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On th evening of 08-MAY-2007 the patient experienced headache, sore throat, swollen glands and felt lethargic. She had no fever. The events persisted as of 10-MAY-2007. Additional information has been requested.


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