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This is VAERS ID 271119

Case Details

VAERS ID: 271119 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-12
Onset:2006-12-12
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:35
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA02666

Write-up: Information has been received from a physician concerning a female who on 12 Dec 2006 was vaccinated with a "full" dose of Gardasil. At the time of administration, a small amount of bleeding was reported at the injection site. The bleeding was controlled prior to the patient leaving the physician''s office on 12 Dec 2006. The patient called the office the day (13 Dec 2006) and reported that she had bled from the injection site and that the "blood had run down her arm". The patient feels that she did not get the full vaccination because of the bleeding problem. It was reported that the patient sought unspecified medical attention. As of 13 Dec 2006, the patient had recovered from bleeding at the injection site. Additional information has been requested.


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