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This is VAERS ID 279234

Case Details

VAERS ID: 279234 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:104
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Nausea
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cough, cold, and flu therapies
Current Illness: Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES0704USA03449

Write-up: Information has been received from a certified medical assistant concerning a 17 year old female with hypersensitivity who on 29-Jan-2007 was vaccinated with a first dose of Gardasil (lot# 654741/1208F). Concomitant therapy included cough, cold, and flu therapies (unspecified). On 29-JAN-2007 the patient experienced dizziness and nausea and sought unspecified medical attention. Subsequently, the patient recovered from the dizziness and nausea within a few hours of vaccinations. The patient was subsequently vaccinated with her second dose of Gardasil on 16-APR-2007. Additional information has been requested.

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