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This is VAERS ID 272299

Case Details

VAERS ID: 272299 (history)  
Age: 18.0  
Gender: Female  
Location: Maryland  
Vaccinated:2006-10-24
Onset:2006-10-24
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:113
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 AR / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Influenza like illness, Nausea, Pain, Stomach discomfort
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0701USA00832

Write-up: Information has been received from a nurse practitioner concerning her 18 year old daughter with drug reactions/allergies and medical history reported as unspecified who in approximately 2007 was vaccinated with second dose of Gardasil (yeast) (lot # not reported) 0.5 ml intramuscularly. Concomitant medication was unspecified. In approximately 2007, after the second dose of Gardasil (yeast), the patient experienced dizziness, and stomach upset. They were flu-like symptoms. The patient sought medical attention. At the time of reporting, the patient had recovered. No additional information was available at the time of reporting. Additional has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a nurse practitioner (NP) concerning her 18 year old daughter with drug reactions/allergies and medical history reported as unspecified who on 24-OCT-2006 was vaccinated with first dose of GARDASIL vaccine (lot # not reported) 0.5 ml intramuscularly in the deltoid. Concomitant medications was unspecified. On 24-OCT-2006, the patient experienced body aches and nausea. The outcome of the events was not reported. In approximately 2006, the patient received second dose of GARDASIL vaccine (lot # not reported 0.5 ml IM. Subsequently, the patient experienced dizziness, and stomach upset. They were flu-like symptoms. The patient sought medical attention. At the time of reporting, the patient had recovered. No additional information was available at the time of reporting. No other information is expected.


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