National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/14/2018 release of VAERS data (an older release, current is 7/23/2021):

This is VAERS ID 275999

Case Details

VAERS ID: 275999 (history)  
Form: Version 1.0  
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

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Blood pressure normal, Body temperature, Cardiac murmur, Heart rate normal, Mental disorder, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pulmonary hypertension (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? 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. HX shingles, attachment disorder.
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 auscultation and percussion. No wheezing. Regular.Ther is a grade 2/6 systolic murmur at the left sternal edge. ABDOMEN Soft. There is tenderness in the right lower quadrant and right periumbilical area. There is no guarding. Bowel sounds are present and normal. She has no edema. No cyanosis or clubbing. Feet are warm. No calf tenderness. Homans is negative. She is alert. She is oriented. She has fairly good strength bilaterally. Her white count is normal. Urinary exam is unremarkable. The electrolytes are also normal. Upper GI series unremarkable except for a mild reflux. Small bowel follow through no definite small bowel abnormalities seen. Pelvic sonogram normal. Gallbladder sonogram mild dilatation of common bile duct. no elevated white count.
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,

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166