This is VAERS ID 397983
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| VAERS ID: | 397983 (history) | Vaccinated: | 2010-07-16 | | Age: | 18.0 | Onset: | 2010-08-20, Days after vaccination: 35 | | Gender: | Male | Submitted: | 2010-09-12, Days after onset: 23 | | Location: | Washington | Entered: | 2010-09-12 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: Clindamycin Topical Solution | | Current Illness: May not be correct on date administered, but am close. I was not ill at all at time of administration. | | Preexisting Conditions: None; completely healthy. | | Diagnostic Lab Data: urine test (all normal), test for mono (negative), colon not guarded, no inflammation of spleen or colon or appendix. | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HEPA: HEP A (NO BRAND NAME) | UNKNOWN MANUFACTURER | | 0 | IJ | UN | | MEN: MENINGOCOCCAL (NO BRAND NAME) | UNKNOWN MANUFACTURER | | 0 | IJ | UN | | TDAP: TDAP (NO BRAND NAME) | UNKNOWN MANUFACTURER | | 5 | IJ | UN | |
| Administered by: Unknown Purchased by: Other | Symptoms: Abdominal pain upper,
Fatigue,
Mononucleosis heterophile test negative,
Urine analysis normal
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
| | Write-up: Extreme fatigue, spontaneous stomach pain (followed up with doctor and on 9/11/10 with ER - all blood work and urine confirmed no infection); the Gardasil vaccine was the only thing different that has occurred in my life. ER gave antispasm prescription and has sent me back to primary care doctor. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=397983
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