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This is VAERS ID 279482

Case Details

VAERS ID: 279482 (history)  
Age: 15.0  
Gender: Female  
Location: Louisiana  
Vaccinated:2007-04-18
Onset:2007-04-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0032F / 1 LA / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB077CA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2058AA / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Decreased appetite, Nausea, Nervousness, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: nausea, vomiting started 2-2 1/2 hours after vaccine administered - continued with nausea through next day - poor appetite. Treated fever with Tylenol. Was very nervous for injections (reported by mother of pt).


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