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This is VAERS ID 279678

Case Details

VAERS ID: 279678 (history)  
Age: 9.0  
Gender: Female  
Location: Utah  
Vaccinated:2007-04-10
Onset:2007-04-11
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:33
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

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:
CDC Split Type: WAES0705USA00653

Write-up: Information has been received from a physician concerning a 9 year old female who on 10-APR-2007 was vaccinated with Gardasil. On 11-APR-2007 the patient experienced a sore arm and nausea. This is one of two reports received from the same source. Additional information has been requested.


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