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From the 5/7/2021 release of VAERS data:

This is VAERS ID 274750

Case Details

VAERS ID: 274750 (history)  
Form: Version 1.0  
Age: 60.0  
Sex: Female  
Location: Washington  
   Days after vaccination:0
Submitted: 2007-03-15
   Days after onset:135
Entered: 2007-03-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Blood alkaline phosphatase, Blood creatinine, Body temperature increased, Chills, Drug administered at inappropriate site, Hyperhidrosis, Influenza, Lymphadenopathy, Musculoskeletal stiffness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Drug abuse and dependence (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (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: Synthroid
Current Illness:
Preexisting Conditions: Hypothyroidism; Cigarette smoker
Diagnostic Lab Data: body temp 11/04/06 101; body temp, 01/17/07 101; serum C-reactive 01/22/07 14.5; serum alkaline 01/22/07 106
CDC Split Type: WAES0701USA03988

Write-up: Initial and follow-up information has been received from a nurse practitioner concerning a 60 year old white female cigarette smoker (40 cigarettes per day) with hypothyroidism who on 30-OCT-2006 was vaccinated, into the right "glute" with a first dose of HPV (lot # 653978/0955F). Concomitant therapy included levothyroxine Na (SYNTHROID). On 04-NOV-2006 the patient experienced stiff neck, myalgia, mild chills, sweats and temperature of 101. On 06-NOV-2006 the patient experienced enlarged cervical lymph nodes. Subsequently, the patient recovered. It was reported that the patient thought that she had the flu. On 12-JAN-2007 the patient was vaccinated, into the right "glute" with a second dose of HPV (lot # 654389/0961F). On 17-JAN-2007 the patient experienced stiff neck, myalgia, mild chills, sweats and temperature of 101. On 19-JAN-2007 the patient experienced enlarged cervical lymph nodes. The nurse practitioner felt that the patient had an "exaggerated immune response." At the time of the report, the patient''s stiff neck and myalgia and mild chills and sweats and temperature of 101 and enlarged cervical lymph nodes persisted. The patient refused her third vaccination. No further information is available.

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