National Vaccine
Information Center

Your Health. Your Family. Your Choice.
Search Results

From the 1/7/2022 release of VAERS data:

This is VAERS ID 263233

Government Disclaimer on use of this data

Case Details

VAERS ID: 263233 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: Michigan  
   Days after vaccination:0
Submitted: 2006-09-14
   Days after onset:38
Entered: 2006-09-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Unevaluable event

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:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0608USA06605

Write-up: Information has been received from a 26 year old female licensed practical nurse with no pertinent medical history and no known allergies or adverse drug reactions reported who on 07-AUG-2006 was vaccinated intramuscularly with a 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (Lot#653650/0696F). There were no concomitant medications reported. The licensed practical nurse reported that she received HPV rLi 6 11 16 18 VLP vaccine (yeast) in her deltoid from a pre-filled syringe. It was reported that when the injection was completed, the nurse administering it "let go of the plunger before taking it out of her arm" and the "spring shot the syringe out of the arm like a dart". It was reported that "some fluid leaked out of her arm". The licensed practical nurse reported that it "stung a little when the vaccine was administered" and then resolved in a few moments. The area of the spill was cleansed with alcohol. The patient sought unspecified medical attention. There were no laboratory diagnostic studies performed. At the time of this report, the patient had recovered from the events. Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166