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This is VAERS ID 274309

Case Details

VAERS ID: 274309 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-14
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Nausea
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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03637

Write-up: This is in follow-up to report (s) previously submitted 3/14/2007. Information has been received from a physician via a company representative, concerning a female patient who was vaccinated with either a first dose or second dose of GARDASIL. Subsequently the patient experienced nausea after vaccination. The patient recovered within a day. The patient sought unspecified medical attention. Additional information has been requested. Follow up information confirmed that no known patient was identified or involved with the event. Therefore, WAES # 0702USA03637 is being deleted from our files. This report was previously sent in a monthly submission to PLA V501 on 14-MAR-2007. This is in follow-up to report (s) previously submitted on 3/14/2007. Information has been received froma physician via a company representative, concerning a female patient who was vaccinated with either a first dose or GARDASIL. Subsequently the patient experienced nausea after vaccination. The patient recovered within a day. The patient sought unspecified medical attention. Follow up information confirmed that no known patient was identified or involved with the event. Therefore, WAES # 0702USA03637 is being deleted from our files. This report was previously sent in a monthly submission to PLA V501 on 14-MAR-2007.


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