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This is VAERS ID 271112

Case Details

VAERS ID: 271112 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2006-10-01
Onset:0000-00-00
Submitted: 2007-01-16
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: WAES0612USA02416

Write-up: Information has been received from a pharmacist concerning her 13 year old daughter who in approximately October 2006 was vaccinated intramuscularly in the upper deltoid of left arm with the first dose if Gardasil vaccine (yeast). On an unspecified date, the patient developed lots of pain and tenderness in her arm around the injection site for a few days after receiving Gardasil vaccine (yeast). The pharmacist reported that her daughter developed three swollen and tender lymph nodes on her left side of her neck. The lymph nodes were really swollen for about three weeks and the tenderness lasted for about two weeks. The pharmacist was planning to have her daughter vaccinated again with the second of Gardasil vaccine (yeast) some time around 25-Dec-2006. At the time of this report, the patient had recovered from the events "about three weeks after the first dose". Additional information has been requested.


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