This is VAERS ID 274437

Case Details

VAERS ID:	274437 (history)
Form:	Version 1.0
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.	- / 1	RA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC.	- / 2	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
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: none~ ()~NULL~~In Patient|none~ ()~NULL~~In Sibling1|none~ ()~NULL~~In Sibling2
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
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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