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This is VAERS ID 267465

Case Details

VAERS ID: 267465 (history)  
Age: 15.0  
Gender: Female  
Location: Washington  
Vaccinated:2006-08-28
Onset:2006-08-28
   Days after vaccination:0
Submitted: 2006-11-14
   Days after onset:78
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0610USA14316

Write-up: Information has been received from a physician concerning a 16 year old female patient who on 28 Aug 2006 was vaccinated with a first dose of Gardisil. On 28 Aug 2006 the patient experienced vomiting within four hours of receiving the vaccination. Outcome was not reported. On 25 Oct 2006, the patient was vaccinated with a second dose of Gardisil. On 25 Oct 2006 the patient experienced vomiting within four hours of receiving the vaccination. On 25 Oct 2006, the patient recovered from vomiting. Additional information has been requested. Initial and follow-up information has been received from a physician and a licensed practical nurse concerning a 16 year old female patient who on 28-AUG-2006 was vaccinated with a first dose of GARDASIL 0.5 ml IM. On 28-AUG-2006, the patient experienced vomiting within four hours of receivng the vaccination. The patient recovered on 28-AUG-2006. On 25-OCT-2006, the patient was vaccinated with a second dose of GARDASIL 0.5 ml IM. On 25-OCT-2006 the patient experienced vomiting within four hours of receiving the vaccination. The mother felt that the vomiting was flu related for the first dose, however the vomiting happened again after the second dose. The patient recovered on 25-OCT-2006. No additional information is expected.


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