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This is VAERS ID 274119

Case Details

VAERS ID: 274119 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Texas  
Vaccinated:2006-12-08
Onset:2007-01-01
   Days after vaccination:24
Submitted: 2007-03-14
   Days after onset:71
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Vaginal swelling
SMQs:, Angioedema (broad), Hypersensitivity (broad)

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: Human papilloma virus infection.
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA00582

Write-up: Information has been received from a physician concerning a 22 year old female with a history of human papilloma virus infection who on 08-DEC-2006 was vaccinated with Gardasil. In January 2007, the patient experienced swelling of her vaginal walls. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered. Additional information has been requested.


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