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This is VAERS ID 284118

Case Details

VAERS ID: 284118 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-07-03
Onset:2007-07-04
   Days after vaccination:1
Submitted: 2007-07-09
   Days after onset:5
Entered: 2007-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0245U / UNK - / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Abdominal pain upper, Back pain, Nausea, Spinal X-ray, Urine analysis normal, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zantac and Miralax
Current Illness: none
Preexisting Conditions: take''s Zantac and Miralax. History of "stomach problems"
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client reports severe back pain and stomach pain, N&V on Wednesday July 4th starting in the afternoon and persisted until today and still effecting her. Went to the ER and had a urine sample given and a x-ray of her back (urine was negative. Awaiting results for x-ray.


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