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This is VAERS ID 276907

Case Details

VAERS ID: 276907 (history)  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-27
Onset:2007-03-27
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:17
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA05033

Write-up: Information has been received from a consumer concerning her 14 year old female with penicillin allergy who on 27-MAR-2007 was vaccinated with 0.5 mL of Gardasil. On 27-MAR-2007 the patient experienced severe stomach pain. The patient''s severe stomach pain persisted. Additional information has been requested.


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