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This is VAERS ID 268036

Case Details

VAERS ID: 268036 (history)  
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 / 0 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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
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
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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