National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 269222

Case Details

VAERS ID: 269222 (history)  
Age: 21.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2006-11-24
Onset:2006-11-24
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:132
Entered: 2006-12-18
   Days after submission:108
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2197AA / 5 UN / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 UN / IM

Administered by: Private       Purchased by: Other
Symptoms: Immediate post-injection reaction, Injection site oedema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Asthma
Preexisting Conditions: UNK
Diagnostic Lab Data: None
CDC Split Type: WAES0611USA07057

Write-up: Information has been received from a nurse concerning a female who was vaccinated with a first dose of HPV vaccine. It was reported that immediately upon administration of the vaccine, the patient developed excessive swelling near the injection site. Unspecified medical attention was sought. At the time of the report, the patient''s outcome was unknown. This is in follow-up to report(s) previously submitted on 12/14/2006. Initial and follow-up information has been received from a nurse and a physician concerning a 21 year old white female student with asthma who on 24-NOV-2006, at 12:00 p.m., was vaccinated IM, into the right arm, with a first dose of GARDASIL (lot #654389/0961F) concomitantly with a sixth dose of FLUZONE (lot #U2197AA) IM, into the left arm. On 24-NOV-2006, at 12:01 p.m., the patient developed immediate swelling at the injection site. The patient recovered on the same day. There were no laboratory or diagnostic tests performed. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269222


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166