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This is VAERS ID 284521

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 284521 (history)  
Form: Version .0  
Age: 15.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:2
Submitted: 2007-06-14
   Days after onset:116
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Flushing, Headache, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05666

Write-up: Information has been received from a Registered Nurse (R.N.) concerning a 15 year old female patient who on 15-FEB-2007 was vaccinated with a first dose of Gardasil lot #655619/1427F. On 17-FEB-2007 the patient developed a fever of 105 degrees and experienced headaches, nausea, vomiting, body aches, abdominal pain and she was "flush all over". These symptoms lasted for ten days before dissipating. On 22-FEB-2007 five days after the adverse symptoms began, the patient was given cetirizine hydrochloride (ZYRTEC) and patient said she felt a little better and her headaches stopped. The nurse who provided this information works in a health department and the name of the patient''s prescribing physician was not provided. Subsequently, the patient recovered. Additional information has been requested.

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