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This is VAERS ID 274281

Case Details

VAERS ID: 274281 (history)  
Form: Version 1.0  
Gender: Unknown  
Location: D.C.  
Submitted: 2007-03-14
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: Incorrect dose administered, Injection site extravasation, No adverse effect, Underdose
SMQs:, Extravasation events (injections, infusions and implants) (narrow), Medication errors (narrow)

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: UNK
CDC Split Type: WAES0702USA03090

Write-up: Information has been received from a physician concerning a patient who on 15-FEB-2007 was vaccinated, intramuscularly, into the deltoid muscle with the first 0.5 ml dose of Gardasil (lot not reported). It was reported that during the administration of the first dose there was some leaking of the vaccine at the injection site. The patient was not able to receive the complete dose. No adverse experience related to this event. Additional information has been requested.

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