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This is VAERS ID 284529

Case Details

VAERS ID: 284529 (history)  
Age: 27.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2007-05-17
Submitted: 2007-06-14
   Days after onset:28
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Fatigue, Feeling abnormal, Inappropriate schedule of drug administration, Injection site pain, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05709

Write-up: Information has been received from a 27 year old female who was vaccinated with Gardasil. Concomitant therapy Ortho Tri-Cyclen. On 17-MAY-2007 the patient experienced injection site pain, dizziness and mental fogginess that lasted four days after receiving therapy with Gardasil. Subsequently, the patient recovered from injection site pain, dizziness and mental fogginess. Additional information is not expected. 07/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a 27 year old female who was vaccinated with a dose of GARDASIL. Concomitant therapy included ORTHO TRI-CYCLEN. On 17-MAY-2007, the patient experienced injection site pain, dizziness, was tired, tingling and mental fogginess that lasted four days after receiving therapy with GARDASIL. It was also reported that the patient experienced pain in her arm which lasted for 5 days. No medical attention was sought. No product quality complaint was involved. Additional information is not expected.


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