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This is VAERS ID 275703

Case Details

VAERS ID: 275703 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-26
Onset:0000-00-00
Submitted: 2007-04-05
Entered: 2007-04-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / -

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Laboratory test normal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: diagnostic laboratory - normal
CDC Split Type: WAES0703USA05647

Write-up: Information has been received from a pharmacist (PharmD) concerning a female (age unknown) patient who on 26-MAR-2007 was vaccinated with a dose of Gardasil which was thought by the reporter to be her initial dose. Subsequently, on an unspecified date, the patient experienced generalized abdominal pain and was hospitalized on 29-MAR-2007 to rule out appendicitis. The pharmacist stated that all of the patient''s test have come back normal but could not identify specifically what tests or labs were performed. It was noted that the patient was treated with IV fluids and pain medication as needed. At the time of this report, the patient had not recovered. No product quality complaint was involved. The reporter considered generalized abdominal pain to be an other important medical event. Additional information has been requested.


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