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This is VAERS ID 272316

Case Details

VAERS ID: 272316 (history)  
Age: 14.0  
Gender: Female  
Location: California  
Vaccinated:2006-11-10
Onset:2006-11-12
   Days after vaccination:2
Submitted: 2007-02-14
   Days after onset:94
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA01392

Write-up: Information has been received from a physician and a certified medical assistant concerning a 14 year old female with no pertinent medical history who on 10-NOV-2006 was vaccinated IM with a first dose of Gardasil (lot #653937/0637F). There was no concomitant medication. On 12-NOV-2006 the patient developed "bad bruise". Unspecified medical attention was sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of Gardasil will be given until further information is received. Additional information has been requested. 5/14/10 Follow up: repored that medical attention was not sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of GARDASIL will be given until further information is received.


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