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This is VAERS ID 274110

Case Details

VAERS ID: 274110 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: New Hampshire  
Vaccinated:2007-01-25
Onset:2007-01-25
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:47
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Cold compress therapy, Injection site erythema, Injection site pain, Injection site pruritus, 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
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA00386

Write-up: Informatio has been received from a physician''s assistant concerning a 22 year old female who on 25 Jan 2007 was vaccinated IM with a second 0.5 ml dose of Gardasil. On approximately 25 Jan 2007, the patient experienced a 1.3 inch area of swelling, redness, tenderness and itchiness at the injection site. The patient notified the physician''s assistant 5 days after vaccination. It was unknown when the events started. The patient was treated with cool compresses and antihistamines with unknown results. No diagnostic laboratory studies were performed. Subsquently the patient recovered from swelling, redness, pain and tenderness at the injection site. It was also reported that on 07 Nov 2006, the patient was vaccinated with a first dose of Gardasil. No product quality complaint was involved. Additional information is not expected.


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