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This is VAERS ID 272499

Case Details

VAERS ID: 272499 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Illinois  
Vaccinated:2006-11-29
Onset:2006-11-29
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:77
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Hot flush, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: penicillin allergy; sulfonamide allergy; allergic reaction to antibiotics
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA03514

Write-up: Information has been received from a medical assistant concerning a 16 year old female with a penicillin, sulfonamide and cefaclor (CECLOR) allergy who on 29-NOV-2006 was vaccinated with a dose of HPV vaccine (yeast). It was reported that ever since she was given the vaccine, the patient experienced hot flashes and nausea. Unspecified medical attention was sought. At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested.


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