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This is VAERS ID 278996

Case Details

VAERS ID: 278996 (history)  
Age: 13.0  
Gender: Female  
Location: New York  
Vaccinated:2007-03-13
Onset:2007-03-14
   Days after vaccination:1
Submitted: 2007-05-18
   Days after onset:65
Entered: 2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain upper
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:
Current Illness:
Preexisting Conditions: Mild asthma, sinus allergies (Environmental)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient stated she had stomach pain x 3 weeks after 1st Gardasil Imm.


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