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Administered by: Unknown Purchased by: Unknown
Life Threatening? No
Write-up: Patient given 1st dose of Gardasil Lot # 14484 on 2/4/08. Patient became ill with Severe Adominal Pain and Nausea. Patient given 2nd dose of Gardasil Lot # 17574 on 4/16/08. Patient because ill with Severe adominal pain, and Nausea and treated at pediatricans office on 5/1/08. Patient given 3rd dose of Gardasil Lot # 0067X on 8/18/08. Patient returned to Pediatrician on 9/3/08 with Severe adominal pain, severe nausea, and brain freezes or seizure complaints. Since September of 2008, patient has been placed on a modified school schedule and is being treated by Hospital with little to no improvement. Student is unable to attend school except for an average of 2 days per week. Student has become disabled because of pain, nausea, and seizure effects. 2/19/2009 MR received from PCP which include multiple consults and ER visits. Seen 2/4/08 for c/o congestion, H/A, fever and abd pain. Assess: Sinustis. Vax given. WCC 4/16/08 with normal G&D. PE WNL. Vax given. Returned 5/1/08 with c/o fever, diarrhea, decreased appetitie and po intake. Assess: Pharyngitis. Viral syndrome. OV 6/4/09 for nausea and migraine. Assess: VGE. OV 9/3/08 for H/a, nausea, stomach pain. Assess: VGE. Returned 9/15/08 with RUQ pain and diarrhea. Rx: Prilosec. Similar sx 9/22/08, 9/25/08 with fever. Seen 11/10/08 with for daily "brain freeze'' where pt can''t think clearly, panics, with H/A after. Missed 20 days of school this yr. Sx continue to present. Referred to GI 10/6/08 with multiple consults for abd pain with no clear dx-likely functional. Depression noted 1/13/09. Weight gain 2'' to eating to lessen pain. IBS dx 2/16/09 2/26/09 Hospital records received for ER visit 9/29/08 and later diagnostic studies with DX: Abdominal pain. Pt presented with several week hx of RUQ abdominal cramping with nausea. Severity 4-9/10. PE WNL. Referred for out pt tx. Follow-up: I have reported my daughter''s adverse effects to GARDASIL and so far, she hasn''t shown up in your VAERS database. The # assigned was 339589. Can you let me know if you need anything else from me and/or how long it will take before I can query on her information. I also want to ensure that all 3 of her lots are listed. See below: Below is her lot information and # of VAERS reports of each. Shot 1 - 78 events with Vaccine is ''HPV4'' and Lot Number contain ''1448U''. Shot 2 - 70 events with Vaccine is ''HPV4'' and Lot Number contain ''1757U''. Shot 3 - 74 events with Vaccine is ''HPV4'' and Lot Number contain ''0067X''. All of her lots have had multiple adverse effects listed. Can you make sure this is recorded and let me know when her information will be published for query purposes? Thanks for providing this service.
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