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This is VAERS ID 276676

Case Details

VAERS ID: 276676 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-03-12
Onset:2007-03-12
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:32
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 2 UN / IM

Administered by: Private       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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho-Tri-Cyclen
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA02815

Write-up: Information has been received from a registered nurse concerning a 19 year old female, with no pertinent medical history or drug reactions/allergies who on 12-MAR-207 was vaccinated with Gardasil (lot# 654741/0013U). Concomitant therapy included Ortho-Tri-Cyclen. Two hours later, on 12-MAR-2007, the patient experienced nausea and vomiting. The patient self treated with Compazine. The vomiting resolved but as of 14-Mar-2007 the nausea continued. No lab testing was performed. Additional information has been requested. The registered nurse reported that 3 other patients'' experiences after Gardasil administration (WAES 0703USA02859, WAES 0703USA02797, WAES703USA02840). Initial and follow up information has been received. There was no illness at the time of vaccination. The records of testing prior to release of the lot in question, have been rechecked and found to be satisfactory. the lot complies with the standards of the Center for Biologics Evaluation & Research and was released.


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