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From the 1/14/2022 release of VAERS data:

This is VAERS ID 264367

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Case Details

VAERS ID: 264367 (history)  
Form: Version 1.0  
Sex: Female  
Location: Unknown  
Submitted: 2006-10-06
Entered: 2006-10-11
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Pain

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0609USA00663

Write-up: Information has been received from a nurse concerning a female who on 01 Sep 2006 was vaccinated intramuscularly with HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702P). The nurse reported that she was very unhappy with the syringe. The nurse reported that she "had received no instructions, and upon using the syringe for the first time, the safety device activated as soon as she pushed all the way down on the plunger, and it hit the patient in the arm". The nurse also reported that she had not read the product insert prior to administering the vaccine, as it was not available in the carton, and as soon as she administered the full dose of vaccine, she immediately let go of the plunger. She also reported that "it was loud, which scared the patient, and the needle coil sprang out and hurt the patient. The patient was kept in the office longer than normal since the coil hit the patient against her arm and hurt her. Unspecified medical attention was sought. The nurse was able to administer the entire dose of vaccine. On 05-Sep-2006 the patient had recovered.

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