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This is VAERS ID 274639

Case Details

VAERS ID: 274639 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-03-13
Onset:2007-03-17
   Days after vaccination:4
Submitted: 2007-03-23
   Days after onset:6
Entered: 2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Headache, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (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: Same symptoms~HPV (Gardasil)~1~19.20~In Patient
Other Medications: Seasonal (OCP),Novalog 1unit/20 gm carbs, Lantus 9 units @ HS, Zoloft 100mg.
Current Illness: Had been diag with Shingles on 3-5-07. Felt well at time of vaccination. T 98.0
Preexisting Conditions: IDDM onset 6-2005, Celiac Disease onset 7-06
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient awoke during night with shakiness, headache, and vomited x''s one 3 days after vaccination with second dose of Gardasil. Episode lasted approx one hour. Pt has IDDM, BS normal at that time. Same occurred after dose #1 which was reported as separate event.


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