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This is VAERS ID 274283

Case Details

VAERS ID: 274283 (history)  
Form: Version 1.0  
Age: 35.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-10-01
Onset:0000-00-00
Submitted: 2007-03-14
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Pain, Pain in extremity, Vaccine positive rechallenge
SMQs:, Tendinopathies and ligament disorders (broad), Medication errors (narrow)

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: UNK
CDC Split Type: WAES0702USA03117

Write-up: Information has been received from a family nurse practitioner (FNP), the consumer, a mid thirties year old female who on an unspecified date was vaccinated with first dose of Gardasil (lot # not reported). Subsequently, the patient experienced stinging after the vaccination. The patient also reported that her arm was sore and stung more after the second and third vaccination with Gardasil. The patient sought medical attention. At the time of reporting, the patient had recovered. No other information was available at the time of reporting. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a family nurse practitioner (FNP), the consumer, a mid thirties year old female who in August 2006 was vaccinated with first dose of GARDASIL (lot # not reported). The second dose of GARDASIL (lot # not reported) was given October 2006 and the third dose of GARDASIL (lot # not reported) was given February 2007. Subsequently, the patient experienced stinging after the vaccination. The patient also reported that her arm was sore and stung more after the second and third vaccination with GARDASIL. She had no reaction with the first injection which was the pre-loaded syringe. The second and third injection was from a vial. The patient sought medical attention. The sore arm lasted about 3 days. At the time of reporting, the patient had recovered.


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