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This is VAERS ID 263228

Case Details

VAERS ID: 263228 (history)  
Age: 27.0  
Gender: Female  
Location: Rhode Island  
Vaccinated:2006-08-25
Onset:2006-08-25
   Days after vaccination:0
Submitted: 2006-09-14
   Days after onset:20
Entered: 2006-09-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - UN / -

Administered by: Other       Purchased by: Other
Symptoms: Skin burning sensation
SMQs:, Peripheral neuropathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0608USA06297

Write-up: Information has been received from a nurse practitioner concerning a 27 year old female who on 25-AUG-2006 was vaccinated with a dose of HPV rLi 6 11 16 18 VLP vaccine (yeast), lot#653650/0702F. During the administration of the vaccine, part of the fluid went into the patient''s arm, the patient''s arm, the patient pulled away and the remainder went on the skin (no adverse reaction noted). The patient complained of burning during administration. Medical attention was sought. The patient received a repeat dose with no burning noted. Patient''s status was reported as recovered. Additional information has been requested.


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