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This is VAERS ID 342948

Case Details

VAERS ID: 342948 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Foreign  
Vaccinated:2009-02-13
Onset:2009-02-18
   Days after vaccination:5
Submitted: 2009-03-27
   Days after onset:36
Entered: 2009-03-30
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Nausea, Viral infection, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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: Levotiroxina (Levothyroxine Sodium)
Current Illness: Hypothyroidism
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0903USA04189

Write-up: Information has been received from a Health Authority concerning a 13 year old female patient with hypothyroidism and no known drug allergies/drug reactions, who on 13-FEB-2009 was vaccinated with the first dose of GARDASIL (Lot # not reported) intramuscularly. Concomitant therapy included LEVOTIROXINA 50.0 ug daily. It was reported that on 16-FEB-2009 the patient experienced dizziness, vomiting and nausea. It was reported that the patient was prescribed corrective treatment with metoclopramide 20-30 mg/day and the treatment was started on 17-FEB-2009. However nausea and vomiting persisted and the patient could not tolerate neither food nor water. It was reported that on 18-FEB-2009 the patient consulted and was diagnosed with a viral infection. It was reported that the patient recovered from nausea, dizziness and vomiting in three days. It was reported that the patient also recovered from viral infection. It was mentioned that previous history of adverse reactions to other drugs was unknown. Other business partner numbers include E2009-02479. No further information is available.


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