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This is VAERS ID 271143

Case Details

VAERS ID: 271143 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-01
Onset:2006-12-01
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:46
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Vaccination complication
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0612USA03521

Write-up: Information has been received from a registered nurse concerning a female (age not reported) who in approximately December 2006, was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast). In approximately December 2006, when administering the vaccine with the prefilled syringe, the nurse release the spring before removing the syringe, therefore causing the patient pain at the injection site. No additional information was available at the time of reporting. No further information is available. This is in follow-up to report(s) previously submitted on 1/16/2007. Additional information was received from the registered nurse via telephone who reported that the patient received the full dose of the GARDASIL. No additional information is expected.


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