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This is VAERS ID 274296

Case Details

VAERS ID: 274296 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:32
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA03462

Write-up: Information has been received from a nurse practitioner concerning a 15 year old female with no pertinent medical history and no history of drug reactions/allergies who on 09-FEB-2007 was vaccinated with first dose of Gardasil (lot # 655617/1447F) 0.5 ml injection. There was no concomitant medication. On 09-FEB-2007, the patient experienced swelling, tenderness, and redness in the injection site after receiving her first Gardasil dose. The patient sought medical attention. The next morning, the clinic administered 50 mg of BENADRYL and "it went back to normal". The nurse practitioner did not mention if it was because of the diphenhydramine. Subsequently, the patient recovered. They plan to give the second shot. Additional information has been requested.

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