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This is VAERS ID 270241

Case Details

VAERS ID: 270241 (history)  
Age:   
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-01-05
Entered: 2007-01-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / - UN / -

Administered by: Other       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0609USA04678

Write-up: Information has been received from a health professional concerning a patient who may have been vaccinated with a dose of with HPV vaccine (yeast) (lot#653650/0697F) in which while preparing the syringe for administration, the safety syringe activated prematurely. It was reported that she may have touched the side of the syringe near the fingers and the activated the safety device. It was also reported that the second syringe scared the patient when it pooped down. No further information is available.


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