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This is VAERS ID 283977

Case Details

VAERS ID: 283977 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-05-08
Onset:2007-05-13
   Days after vaccination:5
Submitted: 2007-06-14
   Days after onset:32
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood pressure normal, Chills, Dysuria, Genital discharge, Hot flush, Hyperhidrosis, Occult blood, Ovarian enlargement, Pruritus, Pyrexia, Swelling, Urinary incontinence, Urinary tract infection, Urine leukocyte esterase, Urine odour abnormal, Uterine enlargement, Vulvovaginitis
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: JANUVIA; vitamins (unspecified)
Current Illness: Sexually active
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: blood pressure, 05/08/07, 110/7, Many; urinalysis, 05/15/07, Cloudy; urinalysis, 05/15/07, +Keytones Occult Blood Leukocytes Esterase; urine leukocytes esterase, 05/15/07, 2+; temperature measurement, 05/13/07, 104.2; urine MBC count, 05/15/07, $g or, < or, 5; urine squamos, 05/15/07, 20-40, < or 5; urine bacteria screen, 05/15/07, Many
CDC Split Type: WAES0705USA02998

Write-up: Information has been received from a 23 year old sexually active female who on 08-MAY-2007 was vaccinated intramuscularly in the left deltoid with a first dose of Gardasil (657622/0388U). Concomitant therapy included sitagliptin phosphate (MSD). On 14-MAY-2007 the patient experienced fever, chills, excessive swelling, swollen uterus and swollen ovaries, hot flashes, perspiration, excessive swelling, yellow discharge, odor, irritation, and itching. She took an unspecified pill for itching that was for yeast infections and it helped. As of 15-MAY-2007 the patient started with not being able to hold urine for long periods of time and burning. A complete urinalysis was performed revealing cloudy urine with the presence of ketones, occult blood, protein, leukocytes esterase, white blood cells, squamos epithelial cells, and bacteria all consistent with vulvovaginitis and a Urinary Tract Infection. Atthe time of the report the patient had not recovered. Additional information has been requested.


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