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This is VAERS ID 267080

(NOTE: This result is from the 12/30/2006 version of the VAERS database)

Case Details

VAERS ID: 267080 (history)  
Form: Version .0  
Age: 19.0  
Sex: Female  
Location: Florida  
Vaccinated:2006-08-31
Onset:2006-10-03
   Days after vaccination:33
Submitted: 2006-11-14
   Days after onset:42
Entered: 2006-11-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Abdominal pain, Feeling cold, Haemorrhage, Hot flush, Nausea
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Insulin, Synthroid
Current Illness:
Preexisting Conditions: Diabetes, Hypothyroidism.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: concerning a 19 year old female with diabetes and hypothyroidism on 8/31/06 was vaccainted IM with a first dose of HPV vaccine. Concomitant therapy included an insulin pump, Levothyroxine (Synthroid) and (Loworval). On 10/3/06 (also reported as a month la"ter), the pt experienced hot flushes and cold flashed, nausea, a temp less than 100F and abnormal bleeding. On 11/4/06, the pt experienced right lower quadrant abdominal pain and was hospitalized. She has had a CAT scan, MRI, laparoscopy and a few ultraso


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