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This is VAERS ID 272513

Case Details

VAERS ID: 272513 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:105
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site swelling
SMQs:, 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? Yes
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: NONE
CDC Split Type: WAES0701USA04026

Write-up: Information has been received from a physician concerning a 16 year old female who "about 2 months ago" in approximately. November 2006, was vaccinated, intramuscularly (IM), into the deltoid muscle with the first 0.5 ml, dose of Gardasil (yeast). "About 2 months ago". in approximately, November 2006, on the same day of injection, the patient developed swelling at the site of injection. The patient reported that the swelling at the injection site subsided (date not reported). The patient sought unspecified medical attention. The patient received the 2nd dose recently without incident. The latter dose was administered (IM) in the thigh. Additional information has been requested.

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