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This is VAERS ID 284499

Case Details

VAERS ID: 284499 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:87
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Diarrhoea, Fatigue, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: (therapy unspecified), Estrostep
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA05245

Write-up: Information has been received from a healthcare worker concerning a 26 year old female with allergic reaction to Cipro who on 19-MAR-2007 was vaccinated with Gardasil 9Lot # 656049/0187U). Concomitant therapy included Estrostep and acne medication. On 19-MAR-2007 the patient experienced abdominal cramping, diarrhea, nausea, body aching and fatigue for 24 hours after receiving her first dose of the vaccine. The next day, 20-MAR-2007, the patient fully recovered from abdominal cramping, diarrhea, nausea, body aching and fatigue. Additional information has been requested.

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