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This is VAERS ID 281035

Case Details

VAERS ID: 281035 (history)  
Age: 21.0  
Gender: Female  
Location: New York  
Vaccinated:2007-06-07
Onset:2007-06-07
   Days after vaccination:0
Submitted: 2007-06-08
   Days after onset:1
Entered: 2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011V / 0 LA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Eye pain, Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad)

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

Write-up: Pt received Gardasil vaccine at 9AM. Called at 4PM complaining of nausea, vomiting, and left side headache with left orbital pain


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