National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 282910

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 282910 (history)  
Form: Version .0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-06-12
Onset:2007-06-14
   Days after vaccination:2
Submitted: 2007-06-26
   Days after onset:12
Entered: 2007-06-27
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Injection site inflammation, Injection site warmth, Muscle spasms, Neck deformity, Neck pain
SMQs:, Dystonia (broad), Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: antimicrobial (unspecified), hormonal contraceptives, Bactrim
Current Illness: Urinary tract infection
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Information has been received from a registered nurse concerning an 18 year old female with no allergies and with a urinary tract infection who on 12-JUN-2007 was vaccinated intramuscularly with the third 0.5 mL dose of Gardasil, (Lot number known by the"reporter). Concomitant therapy included /"birth control/" /"antibiotic/" (unspecified) and sulfamethoxazole/trimethoprim (BACTRIM). On 14-JUN-2007, approximately 36 hours after vaccination, the patient developed severe neck pain and spasms on the same sid


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=282910


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166