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This is VAERS ID 272343

Case Details

VAERS ID: 272343 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Florida  
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:30
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Hypoaesthesia, Injection site pain, Injection site swelling, Local swelling, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (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
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA02188

Write-up: Information has been received from a RN concerning a 13 year old female patient who on 15-Jan-2007 was vaccinated IM with a dose of Gardasil, lot #6536978/0955F. Several hours later, the patient experienced pain and swelling at injection site and extending into her hand. There were no other symptoms noted. Medical attention was sought. At the time of the report the patient was recovering. Additional information has been requested. 5/14/10 Follow up information has been received from a physician concerning the female student with no medical history who on 15-JAN-2007 was vaccinated IM in right deltoid with her first dose of GARDASIL, lot #653978/0955F. 24 hours later the patient presented with complaints of numbness and swollen thumb at the arm where shot was given. The physician stated "No reaction at the site of injection. Also itching." The patient recovered from numbness and swollen thumb at the arm where shot was given and itching. Additional information is not expected.

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