National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283949

Case Details

VAERS ID: 283949 (history)  
Age: 14.0  
Gender: Female  
Location: Ohio  
Vaccinated:2006-12-11
Onset:2006-12-11
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:184
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Dizziness, Nausea, Pallor, Stomach discomfort
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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; Reflex sympathetic dystrophy
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02557

Write-up: Information has been received from a nurse concerning a "14 or 15" year old female who was vaccinated intramuscularly with a 0.5 mL second dose of Gardasil. Subsequently the patient experienced nausea, was white in the face, and sick to the stomach. The patient sought unspecified medical attention. Subsequently, the patient recovered. This is one of several reports from the same source. Additional information has been requested. This is in follow-up report(s) previously submitted on 6/14/2007; 7/6/2007. Information has been received from a nurse concerning a 13 year old female with a history of reactive sympathetic dystrophy, who on 11-DEC-2006 was vaccinated intramuscularly in the left deltoid with a 0.5 mL second dose of GARDASIL (lot# 653937/0637F). Subsequently the patient experienced sick "queasy" to the stomach, dizzy, and weak immediately following the dose. The patient sought unspecified medical attention. Subsequently, the patient recovered on 11-DEC-2006. The patient''s experience did not prevent her from receiving the third vaccination. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283949


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166