This is VAERS ID 264744

Case Details

VAERS ID:	264744 (history)
Form:	Version 1.0
Age:
Gender:	Female
Location:	Unknown

Vaccinated:	2006-09-12
Onset:	2006-09-12
Days after vaccination:	0
Submitted:	2006-10-13
Days after onset:	31
Entered:	2006-10-17
Days after submission:	4

Vaccination / Manufacturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	- / UNK	UN / UN

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

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0609USA02785

Write-up: Information has been received from a pharmacy intern concerning a female who on 9/12/06 the pt experienced nausea and vomiting. Unspecified medical attention was sought. At the time of this report, the outcome of the events was unk. Additional information has been requested.

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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=264744