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This is VAERS ID 279093

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279093
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-04-28
Onset:2007-05-02
Submitted:2007-05-18
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Computerised tomogram normal, Culture stool, Dizziness, Full blood count normal, Haematochezia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Haemorrhagic ovarian cyst; Irritable bowel syndrome; Distress gastrointestinal; Anxiety
Diagnostic Lab Data: head computed axial 05/06/07 - normal, magnetic resonance 05/06/07 - normal, complete blood cell 05/06/07 - normal, stool culture 05/06/07 - trace amount of blood
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 21 year old female patient with 2.4 centimeter haemorrhagic ovarian cyst, possible irritable bowel syndrome, gastrointestinal symptoms and anxiety. On 28-APR-2007 she was vaccinated IM In the lef"t arm deltoid with a first dose of Gardasil. 3 days post vaccination on 02-MAY-2007 the patient experienced headache, dizziness, blurred vision and /"vomiting all the time./" On 06-MAY-2007 the patient went to emergency room (ER) and was seen but not hosp


Changed on 12/8/2009

VAERS ID: 279093 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-04-28
Onset:2007-05-02
Submitted:2007-05-18
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Computerised tomogram normal, Culture stool, Dizziness, Full blood count normal, Haematochezia, Headache, Nuclear magnetic resonance imaging normal, Vision blurred, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 0 (blank)     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Haemorrhagic ovarian cyst; Irritable bowel syndrome; Distress gastrointestinal; Anxiety
Diagnostic Lab Data: head computed axial 05/06/07 - normal, magnetic resonance 05/06/07 - normal, complete blood cell 05/06/07 - normal, stool culture 05/06/07 - trace amount of blood
CDC 'Split Type': (blank) WAES0705USA02556

Write-up:Information has been received from a physician concerning a 21 year old female patient with 2.4 centimeter haemorrhagic ovarian cyst, possible irritable bowel syndrome, gastrointestinal symptoms and anxiety. On 28-APR-2007 she was vaccinated IM In the lef"t left arm deltoid with a first dose of Gardasil. 3 days post vaccination on 02-MAY-2007 the patient experienced headache, dizziness, blurred vision and /"vomiting "vomiting all the time./" time." On 06-MAY-2007 the patient went to emergency room (ER) and was seen but not hosp hospitalized. On 06-MAY-2007 patient was hospitalized with unknown diagnosis. All types of test were performed; head computed axial tomography (CT scan of the brain), complete blood cell count (CBC), magnetic resonance imaging (MRI) with normal results. Stool culture test was taken and there was a trace amount of blood. She was treated with intravenous (IV) fluids. On 09-MAY-2007 she was released from the hospital. She was still dizzy. The outcome was unknown. Additional information has been requested.


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