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This is VAERS ID 273920

Case Details

VAERS ID: 273920 (history)  
Age: 13.0  
Gender: Female  
Location: Wyoming  
Vaccinated:2006-09-29
Onset:2006-09-30
   Days after vaccination:1
Submitted: 2007-03-06
   Days after onset:157
Entered: 2007-03-14
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. P0688F / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Oedema, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergy to Keflex and Motrin
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: 1st Injection with slight erythema and edema. 2nd Injection noted slight edema and erythema, then next am woke with swollen area over most of deltoid area, continue to increase over next 24 hours - arm swollen from elbow to shoulder and continues for 8 days. Resolved completely.


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