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This is VAERS ID 284547

Case Details

VAERS ID: 284547 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-24
Onset:2007-05-24
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:21
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Nausea
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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0706USA00013

Write-up: Information has been received from a nurse practitioner concerning an 18 year old female who on 24-MAY-2007 was vaccinated with Gardasil. Concomitant therapy included Tdap, given at the same time. On 24-MAY-2007 the patient was extremely nauseous after her vaccinations. Subsequently, the patient recovered. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a nurse practitioner concerning an 18 year old female who on 24-MAY-2007 was vaccinated with a first dose of GARDASIL (lot # unknown). Concomitant therapy included Tdap (manufacturer unknown), given at the same time. On 24-MAY-2007 the patient was extremely nauseous post-vaccinations. Medical attention was sought. On 24-MAY-2007 the patient recovered. Further information is not available.


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