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This is VAERS ID 309412

Case Details

VAERS ID: 309412 (history)  
Age: 16.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-09-05
Onset:2007-09-05
   Days after vaccination:0
Submitted: 2008-04-11
   Days after onset:219
Entered: 2008-04-14
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1060U / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Full blood count, Lymphadenitis
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ACCUTANE
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: x-ray; computed axial; complete blood cell; urinalysis LABS: UA w/1+ total protein, WBC 6-10, RBC 6-20, occ bacteria, c/s neg. CBC, amylase, lipase, ASO, mono & chemistry WNL. ESR 25 (H)CXR WNL. US of gallbladder WNL. CT of abdomen/pelvis mildly prominent lymph nodes in RLQ & small left ovarian cyst c/w simple mid-cycle ovulation cyst.
CDC Split Type: WAES0804USA00372

Write-up: Information has been received from a registered nurse concerning her 16 year old daughter with no known drug allergies and no medical history reported, who on 04-SEP-2007 was vaccinated intramuscularly with the second dose of Gardasil. Concomitant therapy included ACCUTANE. On 05-SEP-2007, the patient developed acute abdominal pain "within 24 hours of the vaccination," and was hospitalized for three days. The patient was diagnosed with mesenteric lymphadenitis and was treated with antibiotics and pain medications. Diagnostic laboratory studies performed, with no results reported, included: complete blood cell count, urine test, x-ray and computed axial tomography. On 09-SEP-2007 the patient recovered and was released from the hospital. No product quality complaint was involved. Mesenteric lymphadenitis was considered to be disabling and an other important medical event. Additional information has been requested. 5/2/08 Reviewed hospital medical records of 9/7-9/8/07. FINAL DX: non provided, no d/c summary available. Records reveal patient experienced fever, generalized body aches & achy abdominal pain x 1 day, worse on deep inspiration, better if lying down. Exam revealed tenderness RUQ & RLQ. Admitted for observation. GYN & surgical consults done. D/C to home.


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