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This is VAERS ID 288901

Case Details

VAERS ID: 288901 (history)  
Age:   
Gender: Female  
Location: Florida  
Vaccinated:2007-08-04
Onset:2007-08-04
   Days after vaccination:0
Submitted: 2007-08-23
   Days after onset:19
Entered: 2007-08-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Asthenia, Pruritus, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Viral sore throat
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA02529

Write-up: Information has been received from a physician assistant concerning a female patient who in June 2007, was vaccinated with a first dose of Gardasil. On 04-AUG-2007, the patient was vaccinated with a second dose of Gardasil (Lot# 658100/0525U). Illness at the time included a sore throat (viral syndrome). On 07-AUG-2007 three days later, the patient developed hives, joint pain, was itchy, tenderness in joints, arthralgia, fever and weakness. On 09-AUG-2007, the patient came in to see the physician. The physician put the patient on steroids and loratadine (CLARITIN) (manufacturer unknown). No laboratory diagnostic studies were performed. At the time of this report, the patient was recovering. The nurse practitioner wasn''t sure if the patient''s symptoms were related to the viral syndrome or the vaccine. No product quality complaint was involved. Hives, joint pain, was itchy, tenderness in joints, arthralgia, fever and weakness were considered to be disabling. Additional information has been requested.


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