This is VAERS ID 263228
(NOTE: This result is from the 12/30/2006 version of the VAERS database)
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| VAERS ID: | 263228 (history) | Vaccinated: | 2006-08-25 | | Age: | 27.0 | Onset: | 2006-08-25, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2006-09-14, Days after onset: 20 | | Location: | Rhode Island | Entered: | 2006-09-19, Days after submission: 5 | |
| 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': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) | MERCK & CO. INC. | 0702F | | | UN | |
| Administered by: Other Purchased by: Unknown | Symptoms: Skin burning sensation
SMQs:, Peripheral neuropathy (broad)
| | 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 repe |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=263228
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