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This is VAERS ID 284577

Case Details

VAERS ID: 284577 (history)  
Age: 25.0  
Gender: Female  
Location: Maryland  
Vaccinated:2007-05-09
Onset:2007-05-09
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:36
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 2 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Body temperature increased, Headache
SMQs:, Neuroleptic malignant syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: vital sign 12/13/06 - normal
CDC Split Type: WAES0706USA01187

Write-up: Information has been received concerning a 25 year old female patient who on 09-MAY-2007 was vaccinated intramuscularly in the right deltoid with the third dose of Gardasil (0.5 ml) (lot #657622/0388U). (Dates of the patient''s first two injection were not provided). There was no concomitant medication. On 09-MAY-2007, a few hours after vaccination, the patient experienced a headache, knee and joint soreness and a mild temperature (actual temperature not provided). The patient took acetaminophen (Tylenol) for the "nagging headache". It was reported that she did not have shortness of breath, vertigo, nausea or vomiting. It was reported that after 24 hours the symptoms resolved. Additional information has been requested.


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