National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276142

Case Details

VAERS ID: 276142 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: New York  
   Days after vaccination:1
Submitted: 2007-04-06
   Days after onset:48
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine
Current Illness:
Preexisting Conditions: Seasonal allergy
Diagnostic Lab Data:
CDC Split Type: WAES0703USA00672

Write-up: Information has been received from a licensed practical nurse concerning a 16 year old female with seasonal allergy who on 29-AUG-2006 was vaccinated intramuscularly with a first dose of Gardasil. On 06-NOV-2006, the patient was vaccinated intramuscularly with a second dose of Gardasil. It was reported that the patient received the first and second dose without incident. On 15-FEB-2007, the patient was vaccinated intramuscularly with a third dose of Gardasil. Concomitant therapy included Loratadine. On 16-FEB-2007, at midnight, the patient developed nausea and vomiting that lasted until 14:00 and the patient recovered. Unspecified medical attention was sought. Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166