First Appeared on 12/30/2006 |
| VAERS ID: |
263228
|
Vaccinated: |
2006-08-25 |
| Age: |
27.0 |
Onset: |
2006-08-25 |
| Gender: |
Female |
Submitted: |
2006-09-14 |
| Location: |
Rhode Island |
Entered: |
2006-09-19 |
|
| 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 |
| 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 |
|
|
Changed on 12/8/2009 |
| VAERS ID: |
263228 Before
After
|
Vaccinated: |
2006-08-25 |
| Age: |
27.0 |
Onset: |
2006-08-25 |
| Gender: |
Female |
Submitted: |
2006-09-14 |
| Location: |
Rhode Island |
Entered: |
2006-09-19 |
|
| 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':
(blank)
WAES0608USA06297 |
|
| Vaccination |
Manufacturer |
Lot |
Dose |
Route |
Site |
| HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL)/HPV (GARDASIL) |
MERCK & CO. INC. |
0702F |
|
|
UN |
|
| Administered by: Other
Purchased by: Unknown/Other |
| Symptoms: Skin burning sensation |
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 fluid went into the patient''''s patient''s arm, the patient''''s 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 repeat dose with no burning noted. Patient''s status was reported as recovered. Additional information has been requested.
|
|
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