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This is VAERS ID 267441

Case Details

VAERS ID: 267441 (history)  
Form: Version 1.0  
Age: 42.0  
Gender: Female  
Location: Oklahoma  
Vaccinated:2006-10-18
Onset:2006-10-18
   Days after vaccination:0
Submitted: 2006-11-14
   Days after onset:27
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0640F / UNK UN / -

Administered by: Other       Purchased by: Other
Symptoms: Accidental exposure, Burning sensation, Erythema, Medical device complication, Skin warm
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LORTAB, WELLBUTRIN SR, BIAXIN, trazodone hydrochloride
Current Illness:
Preexisting Conditions: CONCURRENT CONDITIONS: Penicillin allergy
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0610USA11279

Write-up: Information has been received from an office manager and a 42 year old female medical assistant with a Penicillin allergy who on 18-Oct-2006 went to place the needle on the HPV rL1 6 11 16 18 VLP vaccine (yeast0 (Lot#653650/0640F) pre-filled syringe and the medication squirted "out of the syringe" into the air. Concomitant therapy included bupropion HCl (WELLBUTRIN SR), Clarithromycin (BIAXIN), acetaminophen/hydrocodone bitartrate (LORTAB) and Trazodone HCl. The medication did get on her hands and she was experiencing burning and had redness on her index finger. It was warm to touch. At the time of this report, the patient was recovering from the events and the redness was decreasing. Additional information has been requested. It was reported that the patient who was scheduled to received HPV came back the next week and received a dose of HPV which was not in a prefilled syringe, without any problems. The patient had no side effects. Additional information has been requested.


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