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This is VAERS ID 275999

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 275999 (history)  
Form: Version .0  
Age: 17.0  
Sex: Female  
Location: Unknown  
   Days after vaccination:2
Submitted: 2007-04-06
   Days after onset:15
Entered: 2007-04-11
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Blood pressure normal, Body temperature, Cardiac murmur, Gastritis, Gastrooesophageal reflux disease, Heart rate normal, Mental disorder, Nausea, Ultrasound scan normal, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific dysfunction (narrow), 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? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Celexa, Tenex, Lamictal, Depo-provera, susequad
Current Illness:
Preexisting Conditions: Her medical history includes a long psychiatric history with anxiety and panic disorder, posttraumatic stress disorder and attachment disorder. No known medication allergies. The family history is not known. She is adopted. She has been adopted since age 5. No history of alcohol or tobacco. Records received 5/16/07- HX of anxiety, panic disorder, post traumatic stress disorder. H
Diagnostic Lab Data: Her blood pressure is 118/79, temperature 36.7, pulse 81 and respirations 22. HEAD, EARS, EYES, NOSE AND THROAT Unremarkable. Conjunctivae are pink. Buccal mucosa are moist. No cervical lymphadenopathy. Thyroid not palpable. CHEST Clear to
CDC Split Type:

Write-up: A 17-year-old female who was brought to the emergency room because of progressively worsening right-sided abdominal pain since the day before her admission. She developed some nausea and had emesis in the emergency room. No previous history of abdominal pain. Additionally, she had received an injection of Gardasil three to four days prior to onset of these symptoms. She has no fever and no chills, No chest pain. Nausea and vomiting, as stated. No diarrhea. She did have a normal bowel movement yesterday. Her periods had been regular until she was started on Depo-Provera. No fever. No chills. No significant weight changes. No history of diabetes. Mental health problems as stated earlier. 05/16/07-records received for DOS 3/22-3/30/07;DC DX:Abdominal pain, question etiology. Possible GE reflux disease. Gastritis. post traumatic stress disorder. Question biliary colic. Dilated common bile duct, possibly normal variant. Admitted from ED with worsening right sided abdominal pain. Nausea and emesis. No fevers,

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