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This is VAERS ID 272216

Case Details

VAERS ID: 272216 (history)  
Form: Version 1.0  
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 / 2 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 08005 / 1 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
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: 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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