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This is VAERS ID 397983
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
Permanent Disability? No Recovered? No
ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: 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,
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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