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This is VAERS ID 276134

Case Details

VAERS ID: 276134 (history)  
Age: 16.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-09-01
Onset:2006-09-01
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:217
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: [therapy unspecified]
Current Illness:
Preexisting Conditions: Rheumatoid arthritis
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA00614

Write-up: Information has been received from a licensed practical nurse (LPN) concerning her 16 year old daughter who in September 2006, was vaccinated with the first IM dose of Gardasil. Concomitant therapy included "RPN" inhaler. The LPN reported her daughter had been "growing out of rheumatoid arthritis". Within 24 hours, at 0400 hours, the patient experienced nausea and vomiting that lasted for several days. The patient was then fine. In November 2006 or December 2006, the patient received her second IM dose of Gardasil. Within 24 hours, at 0400 hours, the patient experienced vomiting and nausea that lasted for several days. Subsequently, the patient was fine. The patient did not seek medical attention. Additional information has been requested.


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