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This is VAERS ID 278506

Case Details

VAERS ID: 278506 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-05-14
Onset:2007-05-14
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:0
Entered: 2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2171AA / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Fatigue, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt complaining with nausea, dizziness, and fatigue, vomiting.


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