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This is VAERS ID 267446

Case Details

VAERS ID: 267446 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-10-16
Onset:2006-10-16
   Days after vaccination:0
Submitted: 2006-11-14
   Days after onset:29
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Condition aggravated, Diarrhoea, Irritable bowel syndrome, Loss of consciousness, Nausea, Pain, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (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: Dermotologic Unsp, Hormonal contraceptives.
Current Illness:
Preexisting Conditions: Food allergy, Irritable bowel syndrome.
Allergies:
Diagnostic Lab Data: Diagnostic lab 10/19/06
CDC Split Type: WAES0610USA11838

Write-up: Information has been received from the mother of a 24 year old female with irritable bowel syndrome and food allergies to 28 different foods, including yeast and corn who on 10/16/06 was vaccinated with HPV Vaccine. Concomitant therapy included Hormonal contraceptives (unspecified) and dermotologic (unspecified). On 10/16/06 the pt experienced nausea, diarrhea, aches, and vomiting which continued for three days without changes. On 10/19/06, it was reported that the pts irritable bowel syndrome was also triggered by the above events. On 10/19/06 the pt underwent a blood test (usually very well tolerated), however following the blood test on 10/19/06, the pt passed out and vomited, Unspecified medical attention was sought. The pts mother stated that she would be contacting her daughters physician with the listed allergies. At the time of this report, the pt was recovering from the events. Additional information is not expected.


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