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This is VAERS ID 272216

Case Details

VAERS ID: 272216 (history)  
Age: 15.0  
Gender: Female  
Location: Maryland  
Vaccinated:2006-11-07
Onset:2006-11-07
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:99
Entered: 2007-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1213R / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 08005 / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Malaise, Nausea, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: On 11/7/2006, Patient was administered Hepatitis B vaccine (dose #2) and Gardasil (dose #1), and developed severe nausea and vomiting approximately 12 hours later, lasting for approximately 1 hour. Patient felt ill the following day, then recovered. No rash, no fevers. No other reactions. No prior reactions to HepB vaccine.


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