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This is VAERS ID 279522

Case Details

VAERS ID: 279522 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 - / -

Administered by: Other       Purchased by: Other
Symptoms: Nausea, No reaction on previous exposure to drug, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA04642

Write-up: Information has been received from a nurse practitioner concerning his 18 year old female step daughter who in 2007 was vaccinated with the third dose of Gardasil. Concomitant medication was not reported. Nurse practitioner reported that the patient completed the series and did not experience a reaction with dose one or two. In 2007 within 24 hours of receiving the third vaccination of Gardasil, the patient experienced nausea and vomiting. The patient sought unspecified medical attention. Subsequently on an unspecified date, the patient recovered from nausea and vomiting. Additional information has been requested.

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