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This is VAERS ID 274126

Case Details

VAERS ID: 274126 (history)  
Age: 16.0  
Gender: Female  
Location: California  
Vaccinated:2007-01-29
Onset:2007-01-31
   Days after vaccination:2
Submitted: 2007-03-14
   Days after onset:41
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA00785

Write-up: Information has been received from a medical assistant concerning a 16 year old female who on 29-JAN-2007 was vaccinated IM in the right arm with a first 0.5mL dose of HPV. There was no concomitant medication. On approximately 31-JAN-2007 the developed bruises located on her right forearm and right upper arm. The reporter stated that "the patient noticed the bruises 2 days after the day of vaccination." At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.


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