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This is VAERS ID 284211

Case Details

VAERS ID: 284211 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: New York  
Vaccinated:2007-07-02
Onset:2007-07-02
   Days after vaccination:0
Submitted: 2007-07-05
   Days after onset:3
Entered: 2007-07-10
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0307U / 3 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain upper, Headache, Skin warm, Tremor, Vaccine positive rechallenge
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Within a few hours of getting vaccine pt felt shaky. Headache, stomachache, felt warm. Last vaccine done 2-27-07 some reaction. Felt better after 2 days


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