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This is VAERS ID 272586

Case Details

VAERS ID: 272586 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:26
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site cyst

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: WAES0701USA04690

Write-up: Information has been received from a registered nurse concerning an "18 or 19" year old female who on 19-JAN-2007 was vaccinated with the first dose of HPV vaccine (yeast). On 19-JAN-2007, the patient developed a cyst at the injection site. The patient sought unspecified medical attention. The patient was referred to a dermatologist. At the time of this report, the outcome of the event was unknown. Additional information is not expected.

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