National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 288164

Case Details

VAERS ID: 288164 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Virgin Islands  
Vaccinated:2007-08-14
Onset:2007-08-15
   Days after vaccination:1
Submitted: 2007-08-15
   Days after onset:0
Entered: 2007-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0245U / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2157BA / 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B016BA / 6 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Abdominal pain, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none. PMH: none. LMP 3 weeks ago. NKDA.
Allergies:
Diagnostic Lab Data: Labs and Diagnsotics: Abdominal US showed a large (7-8cm) solid, heterogenic mass in the pelvis and mid-abdomen. CT abdomen (+) possible ovarian or mesentaric mass. (+) ascities. CBC with WBCs of 15.5 on admission. H&H dropped to 6.4 and 19.1 post-op requiring 2 units PRBCs. LFT''s: AST 66, ALT 26. ALP 157. Amylase 23. LDH 2078. BUN 34. glucose 160. UA (+) for protein of 100. Unsure of exact test. Mother told me sonogram and CT scan
CDC Split Type:

Write-up: mother called morning after vaccines. child c/o abdominal pain, nausea and vomiting. no fever. no diarrhea. no other symptoms. 09/04/2007 MR received for DOS 8/16-20/2007. Pt presented with 2 day hx of abdominal pain, nausea, vomiting. Upon PE a large protuberant mass was noted in her abdomen. (+) tenderness. Pt taken to OR for Exploratory Lap with L salpingo-oophorectomy for a hemorrhagic ovarian mass and necrosed Fallopian tube. Post-op course complicated by severe anemia. Transfused with 2 units PRBCs. Discharge DX: Left ovarian mass. Follow-up: This is follow up to form completed 8/15/07. Pnone call to mother today who state she took child to pediatrician for continued abdominal pain and vomiting. Received shot for symptoms. No relief. Went to ER and was admitted to hospital for "abdominal mass" according to mother from sonogram/CT scan.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=288164


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166