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This is VAERS ID 272341

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 272341 (history)  
Form: Version .0  
Age:   
Gender: Female  
Location: Washington  
Vaccinated:2006-11-16
Onset:2006-11-16
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:90
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other       Purchased by: Unknown
Symptoms: Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Information has been received from a registered nurse concerning a female patient who on approximately 16-Nov-2006, about two months ago, was vaccainted with a 0.5 ml dose of Gardasil. On approximately 16-Nov-2006, the patient developed swelling of the ar"m 9unspecified) after the injection and experienced pain in her whole arm. The patient sought unspecified medical attention. The patients arm pain persisted. although, the outcome of the patients arm swelling was unknown. Additional information has been r


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http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=272341


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