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This is VAERS ID 276913

Case Details

VAERS ID: 276913 (history)  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-01-19
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. - / 0 - / -

Administered by: Other       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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0703USA05185

Write-up: Information has been received from a physician concerning a 19 year old female who on 19-Jan-2007 was vaccinated with the first dose of Gardasil (Lot # not provided). On 26-JAN-2007 it was reported to the office, that on an unspecified date, post vaccination, the patient developed nausea and vomiting. Unspecified medical attention was sought. On an unspecified date, the patient recovered from the nausea and vomiting. The physician does not know if the patient will receive their second dose of the vaccine. Additional information has been requested.


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