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This is VAERS ID 274437

Case Details

VAERS ID: 274437 (history)  
Age: 9.0  
Gender: Female  
Location: Nevada  
Vaccinated:2007-03-21
Onset:2007-03-21
   Days after vaccination:0
Submitted: 2007-03-21
   Days after onset:0
Entered: 2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Nausea, Pallor, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~ ()~NULL~~In Patient|none~ ()~NULL~~In Sibling1|none~ ()~NULL~~In Sibling2
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Approximately 5 minutes after administration my child complained of nausea and dizziness, she appeared pale. About 10 min later she vomitted. About 15 min after administration she felt ok.


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