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This is VAERS ID 260907

Case Details

VAERS ID: 260907 (history)  
Age: 17.0  
Gender: Female  
Location: Texas  
Vaccinated:2006-07-18
Onset:2006-07-18
   Days after vaccination:0
Submitted: 2006-07-19
   Days after onset:1
Entered: 2006-08-01
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Injection site pain, Injection site swelling, Rash, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: human papilloma virus, genital warts
Preexisting Conditions: NONE
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swelling immediately after vaccine was administered, also rash. Ice pack was applied for 5 minutes and swelling decreases. Rash was still visible, but cream was applied. This is in follow-up report(s) previously submitted on 8/10/2006. Information has been received from a physician concerning a 17 year old female who on an unspecified date was vaccinated with 0.5 ml dose of GARDASIL. Subsequently, the patient experienced painful, swelling "the size of a golf balll" at the injection site. Unspecified medical attention was sought. No diagnostic laboratory studied were performed. The patient recovered by "the next day." Additional information has been requested.


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