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This is VAERS ID 274581

Case Details

VAERS ID: 274581 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Maryland  
Vaccinated:2007-02-20
Onset:2007-02-21
   Days after vaccination:1
Submitted: 2007-03-14
   Days after onset:20
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA04016

Write-up: Information has been received from a physician concerning a female (age not reported) who on 20-FEB-2007 was vaccinated with a 0.5 mL first dose of HPV. The patient was concomitantly vaccinated with a dose of Boostrix. On 21-FEB-2007 the patient experienced nausea and a headache. The patient sought unspecified medical attention. On 22-FEB-2007, the headache was clearing and the nausea was gone. Additional information has been requested.


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