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This is VAERS ID 269223

Case Details

VAERS ID: 269223 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Rhode Island  
   Days after vaccination:1
Submitted: 2007-04-06
   Days after onset:90
Entered: 2006-12-18
   Days after submission:108
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Breast tenderness, Nipple pain

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
Diagnostic Lab Data: NONE
CDC Split Type: WAES0611USA07064

Write-up: Information has been received from a female health professional who was vaccinated with HPV vaccine 0.5ml. Subsequently the patient experienced extremely sore nipples that lasted 4 days. The patient recovered from extremely sore nipples. The health professional plans on receiving the next two vaccine injections. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow-up information has been received from a 25 year old female secretary/receptionist who is the patient (previously reported as a female health professional). On an unspecified date, the patient was vaccinated with a first dose of GARDASIL 0.5 ml. Subsequently the patient experienced extremely sore nipples and slight breast tenderness, starting the day after injection, and lasting approximately 4 days. 04-JAN-2007 the patient was vaccinated with her second dose of GARDASIL. On 05-JAN-2007 the patient experienced slight breast tenderness and extremely sore nipples that lasted for approximately 4 days. The patient plans on receiving the series of vaccine injections. Additional information is not expected.

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