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This is VAERS ID 284902

Case Details

VAERS ID: 284902 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-18
Onset:2007-05-19
   Days after vaccination:1
Submitted: 2007-07-06
   Days after onset:48
Entered: 2007-07-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / UNK UN / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain lower, Computerised tomogram normal
SMQs:, 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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Computed axial 05/19/07 - normal
CDC Split Type: WAES0706USA00252

Write-up: Information has been received from a physician concerning an "18 year old" female who on 18-MAY-2007 who on 18-MAY-2007 was vaccinated IM in her left arm with Gardasil. Concomitant therapy included VAQTA and BOOSTRIX. On 19-MAY-2007 the patient experienced severe lower right abdominal pain. The patient sought medical attention at the hospital and had a CT Scan performed. It was reported the CT Scan was normal and the patient was not admitted to the hospital. Subsequently, the patient recovered from severe lower right abdominal pain. Additional information has been requested.


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