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This is VAERS ID 284898

Case Details

VAERS ID: 284898 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:59
Submitted: 2007-07-06
   Days after onset:126
Entered: 2007-07-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Blood test normal, Chest pain, Electrocardiogram normal, Ultrasound scan normal
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: electrocardiogram 03/01/07 - negative; ultrasound 03/??/07 - negative; diagnostic laboratory 03/01/07 - blood work: negative
CDC Split Type: WAES0706USA00199

Write-up: Information has been received from a physician concerning a 22 year old female with no pertinent medical history and no history of drug reaction/allergies who in January 2007, was vaccinated with a first dose of Gardasil (lot # not reported) 0.5 ml IM. Concomitant therapy included hormonal contraceptives (unspecified). In March 2007, the patient experienced left sided chest pain. Medical attention was sought. There was no radiation and treatment prescribed. In March 2007, the patient had an electrocardiogram, blood work and ultrasound performed; all results were negative. The patient was taking birth control but was discontinued in march 2007. The pain resolved on its own. When the patient was seen again by the physician at the end of April 2007, the pain had resolved completely. The physician restarted the birth control after the patient''s visit in April, 2007. The patient was requesting the second dose of Gardasil. No additional information was available at the time of reporting. Additional information has been requested.

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