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This is VAERS ID 411158

Case Details

VAERS ID: 411158 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: California  
Vaccinated:2008-12-01
Onset:2008-12-01
   Days after vaccination:0
Submitted: 2010-12-02
   Days after onset:731
Entered: 2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 RA / IJ

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Dyspnoea, Dysstasia, Muscle tightness, Pain, Pallor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: allergic to penicillin
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 45 min after the 1st of 3 injections of the Gardasil vaccince. I experienced acute abdominal pain. All the muscles were tight, it hurt to breathe, I was huntched over, pale in my face, and unable to stand up straight for the next 8 hours.


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