National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279240

Case Details

VAERS ID: 279240 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Minnesota  
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:114
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Laboratory test, Urticaria, Vomiting, Weight decreased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: diagnostic laboratory - results not provided
CDC Split Type: WAES0704USA03595

Write-up: Information has been received from the mother of a 14 year old female with no pertinent medical history or drug reactions/allergies, who on 18-JAN-2007 was vaccinated with Gardasil (0.5 ml). There was no concomitant medication. On 19-JAN-2007 the patient experienced hives, vomiting, dizziness and weight loss. At the time of this report, the patient''s hives, vomiting, dizziness and weight loss persisted. Unspecified medical attention was sought and it was reported that the patient underwent blood tests (results not provided). Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166