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This is VAERS ID 284443

Case Details

VAERS ID: 284443 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Indiana  
Vaccinated:2007-07-09
Onset:2007-07-10
   Days after vaccination:1
Submitted: 2007-07-12
   Days after onset:2
Entered: 2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2221AA / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Back pain, Hyperhidrosis, Nausea, Neck pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), 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: Levilite, Flexeril (PRN), Naprosyn (PRN)
Current Illness: None
Preexisting Conditions: 1/19/06 Menorrhagia, 1/5/07 L shoulder pain, allergic to some ear drop med, NAMC
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: c/o sore neck and back, nausea and sweating 7/10. 7/11 - some better, still no fever, cont. to have nausea and sweating. 7/12 feels better.


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