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This is VAERS ID 279624

Case Details

VAERS ID: 279624 (history)  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-24
Onset:2007-04-25
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:19
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Nausea, No reaction on previous exposure to drug, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA06054

Write-up: Information has been received from a physician concerning a 14 year old female who was vaccinated with Gardasil. After her second dose, the patient experienced nausea, diarrhea, vomiting and fever. The patient did not experience any symptoms after her first dose. Subsequently, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Initial and follow information has been received. Patient had no known allergies and no illness at the time of vaccination, who on 24-Apr-2007 was vaccinated IM in the right deltoid, with the second dose of GARDASIL (Lot # 655619/1427F). The following day, 25-Apr-2007, the patient experienced nausea, diarrhea, vomiting and fever, which lasted ofr 24 hours. The patient did not experience any symptoms after her first dose. The patient sought unspecified medical attention. No further information is expected.


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