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This is VAERS ID 274276

Case Details

VAERS ID: 274276 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: California  
   Days after vaccination:1
Submitted: 2007-03-14
   Days after onset:56
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Pain in extremity, Palpitations, Tonsillar hypertrophy
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tendinopathies and ligament 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA02914

Write-up: Initial and follow up information has been received from a physician and a registered nurse (R.N.) concerning a 16 year old female patient who on 15-JAN-2007 was vaccinated IM in left deltoid with her first dose of GARDASIL vaccine. On 19-JAN-2007 the patient developed red and swollen arm in the injection area. The physician advised patient to take TYLENOL. On 22-JAN-2007 the patient reported that her tonsils were swollen. She felt really tired and that her leg was hurting and she could not put weight on it. The patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Follow-up information indicated that on 16-JAN-2007 patient had heart palpitations and on 19-JAN-2007 in AM she had swollen throat, right leg pain (previously reported as starting on 22-JAN-2007, not site of injection), felt tired (previously reported as starting on 22-JAN-2007). The patient recovered in one week. Additional information is not expected.

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