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This is VAERS ID 268036

Case Details

VAERS ID: 268036 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Iowa  
Vaccinated:2006-11-28
Onset:2006-11-28
   Days after vaccination:0
Submitted: 2006-11-30
   Days after onset:2
Entered: 2006-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain lower, Gastrointestinal disorder, Laboratory test abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho Tri-Cyclen Lo
Current Illness: none
Preexisting Conditions: PMH: none Allergies: none
Allergies:
Diagnostic Lab Data: Labs and Diagnoatics: WBC''s 11.0, Abdominal CT shows a thickened appendix at the base of the cecum with surrounding inflammation c/w acute appendicitis.
CDC Split Type:

Write-up: Less than 3 hours following the vaccination she developed severe abdominal cramps and vomited. Subsequently had persistent abdominal pain that eventually localized to the right lower quadrant. A CT of the abdomen was performed the evening of 11/29/06 which revealed appendicitis. A surgical consultation was requested and days of hospitalization are unknown yet at this time. Student health office note of 11/28/06 recording administration of GARDASIL #1 on this date. Hospital record received revealing a 20 year old woman who developed crampy abdominal pain centered in the right lower quadrant 1 day following her GARDASIL vax. Patient had appendectomy and was dischaged home the following day. DX: Appendicitis. She recovered her 2nd GARDASIL vaccination here on 2/8/2007.


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