National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 12/31/2007 release of VAERS data (an older release, current is 6/11/2021):

This is VAERS ID 271113



Case Details

VAERS ID: 271113 (history)  
Form: Version .0  
Age: 19.0  
Sex: Female  
Location: Maryland  
Vaccinated:2006-12-13
Onset:2006-12-13
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:34
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / - - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Headache, Lymphadenopathy, Neck pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEXAPRO ORTHO TRI CYCLEN LO ALLEGRA ADVAIR SINGULAIR
Current Illness:
Preexisting Conditions: Mycotic allergy
Allergies:
Diagnostic Lab Data: body temperature 12/13/06 101.4 degrees - fever body temperature 12/13/06 99.1 degrees
CDC Split Type:

Write-up: Information has been received from a certified medical assistant concerning a 19 year old female with a mold allergy who on 13-Dec-2006 was vaccinated IM into the left deltoid with a 0.5 ml dose of Gardasil vaccine (yeast) (lot#654540/0800F). Concomitant"therapy included Advair, Allegra, montelukast sodium, Ortho-Tri-Cyclen Lo and Lexapro. On 13-Dec-2006 the patient experienced a fever of 101.4 degrees F, head pain, neck pain and swollen glands. Her fever decreased to 99.1 degrees F. On 14-Dec-2006, she c


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=271113


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166