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This is VAERS ID 283965

Case Details

VAERS ID: 283965 (history)  
Age: 15.0  
Gender: Female  
Location: North Carolina  
Vaccinated:0000-00-00
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. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02908

Write-up: Information has been received from a physician, via a company representative, concerning an approximately 15 year old female patient, who was vaccinated (date and dose not specified) with the second dose of Gardasil. There was no concomitant medication. The physician reported that after the vaccine was administered, the patient had a fever that lasted for 24 hours. The patient sought unspecified medical attention. Additional information has been requested.


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