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This is VAERS ID 270262

Case Details

VAERS ID: 270262 (history)  
Age: 23.0  
Gender: Female  
Location: Missouri  
Vaccinated:2006-11-01
Onset:2006-11-23
   Days after vaccination:22
Submitted: 2007-01-05
   Days after onset:43
Entered: 2007-01-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / UN

Administered by: Other       Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0612USA01065

Write-up: This is in follow-up to report(s) previously submitted on 1/5/2007. Information has been received from a physician concerning a 23 year old female who on 01-NOV-2006 was vaccinated, in the left arm, with a first dose of GARDASIL (lot #653938/0954F). On approximately 23-NOV-2006, the patient developed swelling in her lymph node in her axilla (previously reported as swelling in her lymph node area). Unspecified medical attention was sought. On approximately 03-JAN-2007, the patient recovered. Additional information is not available.


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