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This is VAERS ID 449831

Case Details

VAERS ID: 449831 (history)  
Age: 15.0  
Gender: Female  
Location: Texas  
Vaccinated:2011-11-15
Onset:2011-12-30
   Days after vaccination:45
Submitted: 2012-02-13
   Days after onset:45
Entered: 2012-02-20
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0692AA / 0 RA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated.


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