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This is VAERS ID 274639

Case Details

VAERS ID: 274639 (history)  
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 / 1 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
Died? No
Permanent Disability? No
Recovered? Yes
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
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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