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This is VAERS ID 310903

Case Details

VAERS ID: 310903 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:0
Submitted: 2008-04-23
   Days after onset:365
Entered: 2008-04-25
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Activities of daily living impaired, Diarrhoea, Vaccination complication, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804AUS00139

Write-up: Information was obtained on request by the Company from the agency via a Public Case Detail Form and a Case Line Listing concerning a 16 year old female who on 24-APR-2007 was vaccinated with her second dose of GARDASIL (Lot No. 655742/0138U, Batch No. J0800, Expiry date 07-AUG-2009). On 24-APR-2007, after vaccination, the patient experienced abdominal pain, diarrhoea and vomiting. The patient was unable to attend school. It was reported that the patient was previously a healthy year 11 student. The patient''s general physician now considered symptoms may be vaccine associated and has advised to have the third dose following exams in November 2007. At the time of reporting to the agency on 13-SEP-2007, the patient had recovered from abdominal pain, diarrhoea and vomiting. The agency considered that abdominal pain, diarrhoea and vomiting were certainly related to therapy with GARDASIL. The original reporting source was not provided. Abdominal pain, diarrhoea and vomiting were considered to be disabling by the agency. Subsequently the patient''s experience was reported in an article. Additional information is not expected.

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