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This is VAERS ID 272497

Case Details

VAERS ID: 272497 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-04
Onset:2006-12-04
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:72
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site discolouration
SMQs:

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA03503

Write-up: Information has been received from a clinical trial coordinator concerning a female health care worker (age not reported) at a study site. On 04-DEC-2006, the patient was vaccinated in the left deltoid with the first dose of HPV vaccine (yeast) outside of the study. Subsequently, the patient developed discoloration. A band aid was placed over the injection site. As of 12-JAN-2007, there was still obvious discoloration to the area with visible outline of the band aid. The patient stated that she had never had this happen with a band aid before. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


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