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This is VAERS ID 284462

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID: 284462 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: New Mexico  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain upper
SMQs:, Acute pancreatitis (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA04197

Write-up: Information has been received from a physician concerning a patient who was vaccinated with 0.5 ml of Gardasil. subsequently the patient experienced stomach pain after receiving the vaccine. The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170914&IDNUMBER=284462


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