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This is VAERS ID 276939

Case Details

VAERS ID: 276939 (history)  
Age: 16.0  
Gender: Female  
Location: California  
Vaccinated:2007-03-29
Onset:2007-03-29
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:15
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0245U / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Headache, Nausea, Pain
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00100

Write-up: Initial and follow/up information has been received from a Certified Medical Assistant (C.M.A) concerning a 16 year old female patient who on 29-MAR-2007 was vaccinated with a first dose of Gardasil lot #656050/0245U. On 29-MAR-2007 the patient developed headache, nausea and general achy feeling. Unspecified medical attention was sought. The patient was reported as not recovered. Additional information has been requested.


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