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This is VAERS ID 273930

Case Details

VAERS ID: 273930 (history)  
Form: Version 1.0  
Age: 24.0  
Sex: Female  
Location: Pennsylvania  
   Days after vaccination:1
Submitted: 2007-03-08
   Days after onset:1
Entered: 2007-03-14
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Body temperature increased, Erythema, Nausea, Oedema peripheral, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Swelling and redness of arm. Swelling approximately 5 cm, erythema $g 26cm also nausea, vomiting, increase temp. This is in follow-up report (s) previously submitted on 4/6/2007. Information has been received from a 24 year old female and her physician. On 06-MAR-2007, the patient was vaccinated intramuscularly with a 0.5 ml third dose of GARDASIL. The physician reported that this was the patient''s first dose of GARDASIL. The patient had no relevant medical history or illness at the time of vaccination. Concomitant therapy included YASMIN. The patient mentioned that she did not have any problems with dose 1 or 2 and that these doses were given in the outer part of her arm. She reported that the third dose was given less in the outer area and towards the inner arm but still in the muscle. On 06-MAR-2007, the patient experienced red, sore lump at the injection site. The physician reported that on 07-MAR-2007, the patient developed swelling and redness of the arm with swelling of approximatley 5 cm and erythema greater than 26 cm. On 07-MAR-2007, the patient experienced nausea, started to throw up, and she developed a fever. On 09-MAR-2007, the patient went tot he emergency room due to continued vomiting and dizziness. She was treated with intravenous fluid and was released at approximatley 04:00 pm. As of 12-MAR-2007, the patient continued to experience dizziness and nausea. At the time of this report, the outcome was unknown as per the physician. Additional information has been requested.

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