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This is VAERS ID 283954

Case Details

VAERS ID: 283954 (history)  
Age: 24.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-03-09
Onset:2007-03-09
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:96
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chest pain, Diarrhoea, Nausea, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02663

Write-up: Information has been received from a health professional concerning a 24 year old female who on 09-MAR-2007 was vaccinated, IM 0.5 ml first dose, with Gardasil (lot# 657006/0188U). On 09-MAR-2007 the patient experienced nausea and diarrhea. On 12-MAR-2007 the patient experienced a rash on her chest and chest pain. Subsequently, the patient recovered from nausea, diarrhea, rash and chest pain. The patient sought unspecified medical attention. Additional information has been requested.


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