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This is VAERS ID 279496

Case Details

VAERS ID: 279496 (history)  
Age: 16.0  
Gender: Female  
Location: Maryland  
Vaccinated:2007-04-18
Onset:2007-04-19
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:25
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 UN / IM

Administered by: Private       Purchased by: Other
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA04210

Write-up: Information has been received from a physician concerning a female (age unspecified) who on 18-APR-2007 was vaccinated with a first dose of Gardasil. Subsequently, on an unspecified date, the patient experienced nausea and vomiting. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. No product quality complaint was involved. This is in follow-up to report (s) previously submitted on 5/14/2007; 7/6/2007. Follow up information received from the physician stated that on an unspecified date the patient received the second dose GARDASUK (Lot # not reported). The physician stated that the patient did not have any problems with the second vaccination. Additional information has been requested. Initial and follow up information has been received from a physician concerning a 16 year old female who at 13:00 on 18-APR-2007 was vaccinated intramuscularly with the first dose of GARDASIL (lot # 654702/0011U). Subsequently, at 13:30 that same day the patient experienced nausea and vomiting. The patient sought unspecified medical attention. It was reported that on 20-APR-2007 that patient had recovered from the events. Additional information has been requested.


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