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This is VAERS ID 284493

Case Details

VAERS ID: 284493 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-17
Onset:2007-05-19
   Days after vaccination:2
Submitted: 2007-06-14
   Days after onset:26
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: insulin
Current Illness:
Preexisting Conditions: Type I diabetes mellitus
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05062

Write-up: Information has been received from a physician concerning a 19 year old female with a history of type I diabetes mellitus who on 17-MAY-2007 was vaccinated with Gardasil. Concomitant therapy included insulin. On 19-MAY-2007 the patient experienced vomiting. It was reported that the patient sought unspecified medical attention. Subsequently, the patient recovered from vomiting. No further details were provided. Additional information has been requested.


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