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This is VAERS ID 272578

Case Details

VAERS ID: 272578 (history)  
Age: 25.0  
Gender: Female  
Location: Florida  
Vaccinated:2006-12-13
Onset:2006-12-13
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:63
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Mass, Tenderness
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0701USA04602

Write-up: Information has been received from a 25 year old female office manager who on 13-DEC-2006 was vaccinated with a first 0.5 mL dose of GARDASIL vaccine. On 13-DEC-2006, the patient developed a small bump under the skin that was tender after receiving the vaccination. The patient sought unspecified medical attention. At the time of this report, the patient''s small, tender bump under the skin persisted. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007.


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