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This is VAERS ID 272502

Case Details

VAERS ID: 272502 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: West Virginia  
Vaccinated:2007-01-18
Onset:2007-01-18
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:27
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655165/1425F / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Loss of consciousness, Nausea, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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: LOESTRIN 24 FE; iron (unspecified)
Current Illness:
Preexisting Conditions: contraception; routine health maintenance; iron deficiency anaemia
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA03757

Write-up: This is a follow up to report (s) previoulsy submitted on 2/14/2007. Information has been received from a nurse practitioner concerning a 20 year old female on contraception, and supplements with iron deficiency anaemia and no allergies, who on 18-JAN-2007 was vaccinated IM with a first dose of HPV vaccine (yeast) (lot# 655165/1425F). Concomitant therapy included ethinyl estradiol/norethindrone acetate (LOESTRIN 24FE) and iron (unspecified). Two hours after, the patient called the office and complained of nausea and vomiting. The patient came into the office the next day because her vomiting lasted throughout the night and she stated that she passed out. By the time she came to the office she was doing better. No diagnostic studies were performed. At the time of this report, the patient was recovered. No product quality complaint was involved. Additional information has been requested. In follow-up it was reported that the patient''s symptoms of nauea, vomiting and fainting lasted several hours and improved without treatment. The patient recovered on 18-JAN-2007. Additional information is not expected.


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