National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274612

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274612
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-22
Entered:2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Ovarian cyst, Ovarian cyst ruptured, Ultrasound scan, Vomiting

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: ultrasound 01/??/07 - results not reported
CDC 'Split Type':

Write-up:Information has been received from an office receptionist concerning a 12 year old female who in January 2007 was vaccinated with the first dose of Gardasil. Concomitant mediation was not reported. In January 2007, the developed an ovarian cyst that ruptu"red 10 days after receiving the first dose of Gardasil. Initially, the patient started vomiting for a few days and then there was significant abdominal pain. The patient was examined and diagnosed with ruptured ovarian cyst. The patient''''s ovarian cyst an


Changed on 12/8/2009

VAERS ID: 274612 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-22
Entered:2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Ovarian cyst, Ovarian cyst ruptured, Ultrasound scan, Vomiting

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: ultrasound 01/??/07 - results not reported
CDC 'Split Type': (blank) WAES0703USA02141

Write-up:Information has been received from an office receptionist concerning a 12 year old female who in January 2007 was vaccinated with the first dose of Gardasil. Concomitant mediation was not reported. In January 2007, the developed an ovarian cyst that ruptu"red ruptured 10 days after receiving the first dose of Gardasil. Initially, the patient started vomiting for a few days and then there was significant abdominal pain. The patient was examined and diagnosed with ruptured ovarian cyst. The patient''''s patient''s ovarian cyst an and ruptured ovarian cyst persisted and were considered to be disabling. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274612&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166