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This is VAERS ID 272155

Case Details

VAERS ID: 272155 (history)  
Age: 26.0  
Gender: Female  
Location: Maryland  
Vaccinated:2007-02-06
Onset:2007-02-07
   Days after vaccination:1
Submitted: 2007-02-12
   Days after onset:5
Entered: 2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - RA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1704DA / - RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Injection site induration, Injection site pain
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Required ER TX plus 2 additional MD office visits RX Prednisone.
CDC Split Type:

Write-up: 5cm tender induration at site (R biceps) with redness extending entire fore arm and pain at site of injection (Gardasil).


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