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This is VAERS ID 274132

Case Details

VAERS ID: 274132 (history)  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-01
Onset:2007-02-01
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:40
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Autoimmune disorder
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA00923

Write-up: Information has been received from an office manager who was the mother of an 18 year old female patient with an unspecified auto immune disorder who in approximately February 2007 was vaccinated with a dose of HPV. The patient developed a "huge" red circle a few inches in diameter on her arm where she was vaccinated. There was a "lot" of swelling and the patient put ice on it all week. Medical attention was sought. The patient was recovering as of the report date. No further information is available.


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