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This is VAERS ID 271127

Case Details

VAERS ID: 271127 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Tennessee  
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:91
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Headache, Nausea, Upper respiratory tract infection
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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING ACIPHEX
Current Illness: Gastroesophageal reflux
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA02924

Write-up: Information has been received from a nurse practitioner concerning a 20 year old female with gastric reflux who on 17-Oct-2006 was vaccinated IM with a first dose of Gardasil vaccine (yeast) (lot#653735/0688F). Concomitant therapy included Nuvaring and Aciphex. That evening the patient experienced quite a bit of nausea and a headache. It was noted that the patient couldn''t study. On 18-Oct-2006, the nausea was gone. The patient thought that her headache was due to new contacts. On 19-Oct-2006, the patient''s headache went away after she took her contacts out. One month later the patient experienced a upper respiratory infection but the nurse practitioner did not think it was related to the vaccine. Unspecified medical attention was sought. No diagnostic laboratory studies were involved. At the time of this report the outcome of upper respiratory infection was unknown. No product quality complaint was involved. Additional information has been requested. The patient stated that the nausea was a small price to pay for protection. On 18-Dec-2006, the patient was vaccinated into the left deltoid with a second dose of GARDASIL (lot# 654885/1424F). No product quality complaint was involved. Additional information is not expected.

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