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This is VAERS ID 279664

Case Details

VAERS ID: 279664 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Nausea, Pain, Vaccine positive rechallenge
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA00160

Write-up: Information has been received from a physician concerning a female child (age not reported) who was the daughter of one of the reporting physician''s patients. On unspecified dates, the patient was vaccinated with a first, second and third 0.5 mL dose of Gardasil at her pediatrician''s office. Subsequently the patient experienced pain after each of her three doses of Gardasil, progressively getting worse each time. After the third dose, the patient also experienced nausea and had to stay home from school. Subsequently, the patient recovered from pain and nausea. No additional information is expected.


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