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This is VAERS ID 570681

Case Details

VAERS ID: 570681 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Male  
Location: Vermont  
   Days after vaccination:0
Submitted: 2015-03-05
   Days after onset:9
Entered: 2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K007264 / 3 UN / IM

Administered by: Private       Purchased by: Public
Symptoms: Abdominal pain upper, Blood glucose, Dizziness, Nausea, Nervousness, Throat irritation
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Blood glucose and O2 sat checked and VS
CDC Split Type:

Write-up: Patietn felt shaky, throat felt "funny"- stomach pain-nauseated dizzy.

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