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This is VAERS ID 274327

Case Details

VAERS ID: 274327 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: California  
Submitted: 2007-03-14
   Days after onset:139
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Drug administered at inappropriate site, Flushing, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA03840

Write-up: Information has been received from a health professional concerning a 25 year old Hispanic female engineer with no known drug allergies who, on an unspecified date, was vaccinated in the left gluteal muscle with a first dose of Gardasil. There was no concomitant medication. On 26 Oct 2006 the patient became flush, experienced vomiting and nausea. There was no illness at the time of vaccination. It was reported that the patient recovered the same day, 26 Oct 2006. Additional information has been requested.

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