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This is VAERS ID 276872

Case Details

VAERS ID: 276872 (history)  
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 / 0 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Cervix neoplasm; Papilloma viral infection
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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