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This is VAERS ID 467780

Case Details

VAERS ID: 467780 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:1536
Submitted: 2012-10-04
   Days after onset:992
Entered: 2012-10-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain upper, Biopsy stomach abnormal, Chemotherapy, Gastrectomy, Gastric cancer, Metastases to ovary, Radiotherapy
SMQs:, Acute pancreatitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Non-haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-07-12
   Days after onset: 908
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: In 11/2009, subject reported onset of severe epigastralgia and was examined and biopsied on 01/15/2010. After receiving Dx of gastric cancer, had complete gastrectomy on 2/9/2010 and 45 day hospital stay. Was also hospitalized in 4/2010 for chemotherapy and radiotherapy, and discharged on 5/26/2010. Followed up with specialist, chemotherapy, and metoclopramide daily. Mother reported subject received Dx of ovarian metastasis in 4/2011, and additional chemotherapy was not successful.

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