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This is VAERS ID 284501

Case Details

VAERS ID: 284501 (history)  
Age: 13.0  
Gender: Female  
Location: Unknown  
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 / IM

Administered by: Other       Purchased by: Other
Symptoms: Malaise, Pain, Vaccine positive rechallenge
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05309

Write-up: Information has been received from a physician concerning a 13 year old female who was vaccinated with Gardasil. Subsequently the patient experienced malaise, not feeling well, and body aches and pains after the first and second dose. No other information was reported. Additional information has been requested.


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