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This is VAERS ID 270413

Case Details

VAERS ID: 270413 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2007-01-11
Onset:2007-01-11
   Days after vaccination:0
Submitted: 2007-01-11
   Days after onset:0
Entered: 2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 RA / IM

Administered by: Private       Purchased by: Private
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Five minutes after injection patient became nauseous and vomited. Pulse 100. BP 118/76. Patient waited 20 minutes after vomiting. Felt fine. Left office.


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