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This is VAERS ID 274198

Case Details

VAERS ID: 274198 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Iowa  
Vaccinated:2006-12-01
Onset:2006-12-01
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:102
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)

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: WAES0702USA01347

Write-up: Information has been received from a licensed practical nurse concerning a female with pertinent medical history unspecified and drug reaction/allergies unspecified who in December 2006, two months ago, was vaccinated with first dose of Gardasil 0.5 ml IM. Concomitant therapy was unspecified. In December 2006, one day after receiving the injection, the patient experienced redness, swelling, itching, and bumps on her arm at the injection site. The patient also experienced light-headedness, and dizziness. The patient sought medical attention. Subsequently, the patient recovered. No other information was available at the time of reporting. No additional information is available.


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