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This is VAERS ID 283748

Case Details

VAERS ID: 283748 (history)  
Age: 24.0  
Gender: Female  
Location: Mississippi  
Vaccinated:2007-04-24
Onset:2007-04-25
   Days after vaccination:1
Submitted: 2007-06-14
   Days after onset:50
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant therapy included PAXIL, LOESTRIN and ALLEGRA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA00651

Write-up: Initial and follow-up information has been received from a licensed practical nurse (LPN), concerning a 20 year old (previously reported as 24 year old) female patient with no significant medical history, who on 24-APR-2007 was vaccinated IM in the left deltoid, with the first dose of Gardasil (lot # 655617/1447F). On 25-APR-2007, the patient experienced nausea, started vomiting and had diarrhea. The patient''s vomiting resolved after 4 days, on approximately, 29-APR-207, the date of recovery for nausea abd diarrhea was reported 01-MAY-2007. The nurse clarified that the evets did not require an office visit or emergency room treatment. No further information is expected.


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