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This is VAERS ID 274579

Case Details

VAERS ID: 274579 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
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. - / - - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Presyncope
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? 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: WAES0702USA04000

Write-up: Information has been received from a certified medical assistant (C.M.A) concerning a female patient who was vaccinated with a 0.5 mL dose of HPV, (lot # not reported). Subsequently the patient experienced pain at the injection site lasting for about a week. It was reported that the patient almost passed out from the pain. The C.M.A also reported that approximately 19 other patients experienced pain at the injection site lasting for about a week. (WAES# 0702USA00920) Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested.


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