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This is VAERS ID 276136

Case Details

VAERS ID: 276136 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: California  
Vaccinated:2007-03-01
Onset:2007-03-01
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:35
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 1 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain upper, Asthenia, Dizziness
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00629

Write-up: Information has been received from a physician concerning a 23 year old female patient who on 01-MAR-2007 was vaccinated in right deltoid with a first dose of GARDASIL vaccine, lot #656372/0243U. The patient became dizzy after receiving the injection. She also had stomach cramps when she got home (severe). Weakness and the start of menses shortly after the vaccination. Unspecified medical attention was sought. The patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient recovered from stomach cramps and weakness on 01-MAR-2007. The outcome of dizziness was unknown. Additional information is not expected.


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