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This is VAERS ID 271169

(NOTE: This result is from the 6/14/2014 version of the VAERS database)

Case Details

VAERS ID: 271169 (history)  
Form: Version .0  
Gender: Female  
Location: Unknown  
   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. - / - GM / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA00932

Write-up: Information has been received from a registered nurse concerning a female who in approximately December 2006, was vaccinated with Gardasil vaccine (yeast). In approximately December 2006, when administering the vaccine with the pre-filled syringe, the nurse released 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. 5/14/2010 Follow up: Additional information has been received rom the registered nurse via telephone. The nurse reported that the patient received the full dose of GARDASIL. No additional information is expected.

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