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This is VAERS ID 276669

Case Details

VAERS ID: 276669 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA02369

Write-up: Information has been received from a physician concerning a female (age not reported) who on an unspecified date was vaccinated with first dose of Gardasil (yeast) (lot # not reported) injection. Subsequently, the patient experienced nausea and diarrhea. Medical attention was sought. On an unspecified date, the patient recovered from nausea and diarrhea. No further information was available at the time of reporting. Additional information has been requested.


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