National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 278654

Case Details

VAERS ID: 278654 (history)  
Age: 13.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-03-01
Onset:2007-04-27
   Days after vaccination:57
Submitted: 2007-05-15
   Days after onset:18
Entered: 2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Blood pressure, Full blood count, Henoch-Schonlein purpura, Physical examination, Rash, Urine analysis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vasculitis (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None, presented at visit with acne
Preexisting Conditions: allergic rhinitis, history of bronchospasm, Osgood Schlatter, International travel - Africa summer 2006, India January 2007
Diagnostic Lab Data: CBD, Urinalysis, Blood Pressure, Physical exam
CDC Split Type:

Write-up: HPV administered on 3/1/07. Abdominal pain and rash started 4/27/07. Diagnosed with HSP on 5/2/07.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278654


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166