National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 397983

Case Details

VAERS ID: 397983 (history)  
Age: 18.0  
Gender: Male  
Location: Washington  
Vaccinated:2010-07-16
Onset:2010-08-20
   Days after vaccination:35
Submitted: 2010-09-12
   Days after onset:23
Entered: 2010-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 UN / IJ
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 UN / IJ
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 5 UN / IJ

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)

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:

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.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=397983


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166