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This is VAERS ID 273263

Case Details

VAERS ID: 273263 (history)  
Age: 13.0  
Gender: Female  
Location: New York  
Vaccinated:2007-02-27
Onset:2007-02-28
   Days after vaccination:1
Submitted: 2007-03-01
   Days after onset:1
Entered: 2007-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2136AA / 0 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Body temperature increased, Pain, Pyrexia, Rhinorrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SINGULAIR 5 MG QHS AND ALBUTEROL MDI 2 INHALATIONS PRN AMD ASMANEX INHALER 1 INHALATION A DAY
Current Illness: NONE
Preexisting Conditions: BRONCHIAL ASTHMA; NO ALLERGIES
Diagnostic Lab Data: TEMP= 101.0
CDC Split Type:

Write-up: FEELING ACHY AND FEVER (101.0) 48HRS AFTER ADMINISTRATION ALONG WITH VOMITTING X6 THAT NIGHT AND TWICE THE FOLLOWING MORNING. MILD RUNNY NOSE, NO COUGHING, NO WHEEZING, NO HIVES,NO DIARRHEA, MILD ABDOMINAL CRAMPING. NO LETHARGY, NO BEHAVIORAL CHANGES, NO JOINT PAIN OR MUSCLE WEAKNESS. ADMINISTERED IBUPRIFEN 400 MG PO AT 11AM ON 03-01-07. ADVISED SYMPTOMATIC CARE AND SEEK EMERGENCY SERVICE IF SYMPTOMS PERSIST OR WORSEN.


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