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This is VAERS ID 276872

Case Details

VAERS ID: 276872 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: New York  
Vaccinated:2006-12-15
Onset:2006-12-15
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:118
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 - / 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Cervix neoplasm; Papilloma viral infection
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04247

Write-up: Information has been received from a nurse practitioner a 19 year old white female with a history of "CIN1" (cervical neoplasm) and "HR HPV" who on 15-DEC-2006 was vaccinated IM in the left deltoid with 0.5mL of Gardasil vaccine (yeast) (lot # 654741/1208F) at 16:00. On 15-DEC-2006 the patient experienced mild nausea 1 hour after receiving vaccination and the nausea lasted 2-3 days. On 16-FEB-2007 the patient was vaccinated, second dose, IM in the left deltoid with 0.5 mL of Gardasil vaccine (yeast) (lot # 656049/0187U) at 16:00. The patient experienced nausea and vomiting 1 hour after vaccination and it lasted approximately 1 week. The nausea and vomiting would occur after eating or attempting to eat. The patient sought unspecified medical attention. No further information is available.


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