This is VAERS ID 263241
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| VAERS ID: | 263241 (history) | Vaccinated: | 2006-08-29 | | Age: | 24.0 | Onset: | 2006-08-29, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2006-09-14, Days after onset: 16 | | Location: | Pennsylvania | 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: Doxycycline; ALLEGRA-D; hormonal contraceptives; AMBIEN | | Current Illness: Unknown | | Preexisting Conditions: Unknown | | Diagnostic Lab Data: NONE | | CDC 'Split Type': WAES0609USA00077 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4: HPV (GARDASIL) | MERCK & CO. INC. | 0589F | 0 | | LA | |
| Administered by: Private Purchased by: Private | Symptoms: Injection site pain,
Injection site swelling SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
| | Write-up: Information has been received from a physician concerning a female patient in her early 20''s who was vaccinated with her first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Subsequently, the patient experienced a high amount of pain and swelling at the injection site. Medical attention was sought. Subsequently, the patient recovered. Additional information has been requested. 01/05/2007 Follow up information has been received from a physician concerning a 24 year old female who on 29-AUG-2006 at 9:00 a.m. was vaccinated in the left arm with her first dose of GARDASIL, lot #653736/0589F. Concomitant therapy included AMBIEN, doxycycline, ALLEGRA-D, and unspecified oral contraceptive pills. Following the vaccination, on 29-AUG-2006 at 9:00 a.m. the patient experienced pain (burning) in her left arm plus swelling and tenderness x 3 days. Additional information is not expected. |
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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263241
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