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This is VAERS ID 342378

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 342378
Age:15.0
Gender:Female
Location:Virginia
Vaccinated:2008-08-20
Onset:2008-10-01
Submitted:2009-03-20
Entered:2009-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0063X / 0 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Abdominal tenderness, Chest pain, Chills, Computerised tomogram normal, Dizziness, Eczema, Fatigue, Full blood count normal, Gastric emptying study, Headache, Malaise, Nausea, Pyrexia, Tremor, Vomiting, Weight decreased, X-ray abnormal, X-ray with contrast upper gastrointestinal tract, Activities of daily living impaired, Ultrasound abdomen normal, Oesophagogastroduodenoscopy, Laboratory test normal, Biopsy intestine abnormal, X-ray gastrointestinal tract abnormal, Blood test, Hepatobiliary scan, Helicobacter pylori identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None. PMH: none. NKDA
Diagnostic Lab Data: diagnostic laboratory, Stomach empty test - No results available; computed axial, No results available; diagnostic laboratory, Blood test - No results available. Labs and diagnostics: Upper GI WNL. CBC WNL. Chem WNL. H. pylori (-). BX of
CDC 'Split Type': WAES0903USA02570

Write-up:Information has been received from a consumer concerning her 15 year old daughter with no past medical history and no drug reactions or allergies who in August 2008, was vaccinated with the first dose of GARDASIL. In October 2008, the patient received the second dose of GARDASIL. There was no concomitant medication. The consumer reported that the patient developed a low grade fever and felt "sick" the day after receiving her second dose of GARDASIL. During October and November of 2008, the patient experienced intermittent "stomaches", nausea and vomiting. Starting December of 2008 until the time of this report, she had experienced persistent extreme stomach pains and vomiting. The patient had been examined by three gastroenteriologists who were not able to determine the cause of her symptoms. She had missed 60 days of school. Lab diagnostics studies included a stomach empty test, CAT scan and blood tests with no results available. At time of this report, the patient had not recovered. The patient sought medical attention by an office visit. Upon internal review, low grade fever, felt "sick", intermittent "stomaches", nausea, vomiting and persistent extreme stomach pains were considered to be disabling. Additional information has been requested. 3//25/09 MR received from parent which include several GI consults and diagnostic testing. Per MR pt began having intermittent vomiting in Sept 2008. Usually at night waking pt, accompanied by abdominal pain, H/A and associated with shaking/shivering/chills. Occ nausea. 6-7 lb wt loss. ROS (+) for fatigue and chest pain. PE WNL except for eczematous rash on hip, iliac crest and axilla. Some improvement with Reglan but now c/o dizziness. W/U essentially (-). No final DX. 2nd GI consult seen 1/9/09. PE (+) for tenderness to palpation of the epigastrium, RUQ and RLQ. Has missed 28 school days since Sept 08. Labs and diagnostics: Upper GI WNL. CBC WNL. Chem WNL. H. pylori (-). BX of esphagus and stomach WNL. Some inflammation of lamina propria of duodenum. Uppe


Changed on 4/14/2017

VAERS ID: 342378 Before After
Age:15.0
Gender:Female
Location:Virginia
Vaccinated:2008-08-20
Onset:2008-10-01
Submitted:2009-03-20
Entered:2009-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0063X / 0 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Abdominal tenderness, Chest pain, Chills, Computerised tomogram normal, Dizziness, Eczema, Fatigue, Full blood count normal, Gastric emptying study, Headache, Malaise, Nausea, Pyrexia, Tremor, Vomiting, Weight decreased, X-ray abnormal, X-ray with contrast upper gastrointestinal tract, Activities of daily living impaired, Ultrasound abdomen normal, Oesophagogastroduodenoscopy, Laboratory test normal, Biopsy intestine abnormal, X-ray gastrointestinal tract abnormal, Blood test, Hepatobiliary scan, Helicobacter pylori identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None. PMH: none. NKDA
Diagnostic Lab Data: diagnostic laboratory, Stomach empty test - No results available; computed axial, No results available; diagnostic laboratory, Blood test - No results available. Labs and diagnostics: Upper GI WNL. CBC WNL. Chem WNL. H. pylori (-). BX of esphagus and stomach WNL. Some inflammation of lamina propria of duodenum. Upper GI (+) for small ring shadow of distal stomach with SB follow through WNL. Head CT WNL. US abd WNL. HIDA scan WNL. CT abd and pelvis WNL. Gastric emptying study WNL. X-ray abd (+) for increased stool. EGD WNL.
CDC 'Split Type': WAES0903USA02570

Write-up:Information has been received from a consumer concerning her 15 year old daughter with no past medical history and no drug reactions or allergies who in August 2008, was vaccinated with the first dose of GARDASIL. In October 2008, the patient received the second dose of GARDASIL. There was no concomitant medication. The consumer reported that the patient developed a low grade fever and felt "sick" the day after receiving her second dose of GARDASIL. During October and November of 2008, the patient experienced intermittent "stomaches", nausea and vomiting. Starting December of 2008 until the time of this report, she had experienced persistent extreme stomach pains and vomiting. The patient had been examined by three gastroenteriologists who were not able to determine the cause of her symptoms. She had missed 60 days of school. Lab diagnostics studies included a stomach empty test, CAT scan and blood tests with no results available. At time of this report, the patient had not recovered. The patient sought medical attention by an office visit. Upon internal review, low grade fever, felt "sick", intermittent "stomaches", nausea, vomiting and persistent extreme stomach pains were considered to be disabling. Additional information has been requested. 3//25/09 MR received from parent which include several GI consults and diagnostic testing. Per MR pt began having intermittent vomiting in Sept 2008. Usually at night waking pt, accompanied by abdominal pain, H/A and associated with shaking/shivering/chills. Occ nausea. 6-7 lb wt loss. ROS (+) for fatigue and chest pain. PE WNL except for eczematous rash on hip, iliac crest and axilla. Some improvement with Reglan but now c/o dizziness. W/U essentially (-). No final DX. 2nd GI consult seen 1/9/09. PE (+) for tenderness to palpation of the epigastrium, RUQ and RLQ. Has missed 28 school days since Sept 08. Labs and diagnostics: Upper GI WNL. CBC WNL. Chem WNL. H. pylori (-). BX of esphagus and stomach WNL. Some inflammation of lamina propria of duodenum. Uppe Upper GI (+) for small ring shadow of distal stomach with SB follow through WNL. Head CT WNL. US abd WNL. HIDA scan WNL. CT abd and pelvis WNL. Gastric emptying study WNL. X-ray abd (+) for increased stool. EGD WNL.


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