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This is VAERS ID 263207

Case Details

VAERS ID: 263207 (history)  
Age: 21.0  
Gender: Female  
Location: Florida  
Vaccinated:2006-08-08
Onset:2006-08-09
   Days after vaccination:1
Submitted: 2006-09-14
   Days after onset:36
Entered: 2006-09-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI CYCLEN
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0608USA03841

Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 08-AUG-2006 was vaccinated with the first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO TRI CYCLEN). Following the vaccination, on an unspecified date in August 2006, the patient experienced diarrhea. Unspecified medical attention was sought. At the time of this report, the outcome of the diarrhea was unknown. Additional information has been requested.


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