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This is VAERS ID 274202

Case Details

VAERS ID: 274202 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:107
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Headache, Injection site erythema, Injection site mass, Injection site pain, Injection site reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES0702USA01383

Write-up: Information has been received from a physician concerning a female (age not reported) who on 26-NOV-2006 was vaccinated with the first dose of Gardasil and on 31-JAN-2007 was vaccinated with the second dose of Gardasil. Concomitant medication was not reported. On approximately 26-NOV-2006 the patient experienced headache after the first dose of Gardasil, which lasted about one month. The outcome and causality of the headache was not reported. On 07-FEB-2007, about 7 days after the second dose of Gardasil, the patient developed a "lump," redness and pain in her arm, at the injection site. The physician reported that the injection site reaction was approximately one half centimeter which was extremely tender and painful. On an unspecified date, the patient sought unspecified medical attention. The patient''s events persisted. Additional information has been requested.

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