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This is VAERS ID 279064

Case Details

VAERS ID: 279064 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-01-26
Onset:2007-01-27
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:106
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00843

Write-up: Initial and follow up information has been received from a physician and a nurse concerning a 24 year old female patient, who on 26-JAN-2007 (reported by the nurse as 25-JAN-2007) was vaccinated with the first dose, 0.5ml, of Gardasil, and on approximately 26-MAR-2007 ("two months later") with the second dose of Gardasil. There was no concomitant medication. On 27-JAN-2007 the patient developed diarrhea, nausea and vomiting. The patient recovered from the events (date unspecified); following the second vaccination, the physician reported that there were "no ill effects." The patient sought unspecified medical attention. No further information is expected.


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