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This is VAERS ID 279538

Case Details

VAERS ID: 279538 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Missouri  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:21
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none; YASMIN
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA05003

Write-up: This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow information has been received from a registered nurse and a healthcare professional, concerning a 20 year old female patient, who also initiated therapy with YASMIN on the morning of 23-APR-2007, and on 23-APR-2007, at 9:30am, was vaccinated with a dose, 0.5ml, IM, of GARDASIL (Lot #654272/0319U). There was no illness at the time of vaccination. The nurse reported that the patient "vomited 3 times within the first hour of vaccination," and the healthcare worker clarified that the vomiting started at 10:30am, 1 hour after vaccination, and continued with 3-4 more episodes before she recovered at 2:30pm. The healthcare worker confirmed that a visit to the physician or ER was not required. At the time of this report, the patient had recovered. No further information is expected.

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