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This is VAERS ID 263215

Case Details

VAERS ID: 263215 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: California  
Vaccinated:2006-08-10
Onset:2006-08-10
   Days after vaccination:0
Submitted: 2006-09-14
   Days after onset:35
Entered: 2006-09-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TRINESSA
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0608USA04457

Write-up: Information has been received from a physician concerning an 18 year old female with no pertinent medical history or drug reactions/allergies, who on 10-AUG-2006 was vaccinated intramuscularly with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml) (lot#653650/0702F). Concomitant therapy included ethinyl estradiol/norgestimate (TRINESSA). On 10-AUG-2006 the patient experienced multiple episodes of vomiting. Unspecified medical attention was sought. Subsequently, the patient recovered from the vomiting within 48 hours. Additional information has been requested.


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