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This is VAERS ID 269178

Case Details

VAERS ID: 269178 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-10-26
Onset:2006-10-26
   Days after vaccination:0
Submitted: 2006-12-14
   Days after onset:49
Entered: 2006-12-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Feeling abnormal
SMQs:, Dementia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0611USA02584

Write-up: Information has been received from a health professional concerning a 20 year old female who on 26-Oct-2006 was vaccinated "in the right hip" with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot#654540/0800F). Within 15 minutes, the patient experienced a "funny feeling" in upper right thigh. The patient said "the feeling was gone later that day". No medical attention was sought. No product quality complaint was involved. Additional information has been requested.


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