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This is VAERS ID 274586

Case Details

VAERS ID: 274586 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: New York  
Vaccinated:2007-02-20
Onset:2007-02-20
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:21
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Lymph node pain, Lymphadenopathy, Nausea
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo-Provera
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA04052

Write-up: Information has been received from a physician concerning a 25 year old female secretary with on medical history or allergies, who on 20-FEB-2007 was vaccinated IM into the left arm with a 0.5 ml dose of HPV. Concomitant therapy included Depo-Provera. On approximately 20-FEB-2007, the patient experienced soreness at injection site. On 21-FEB-2007 for that day only the patient experienced nausea. On the morning of 22-FEB-2007 the patient noticed what looks similar to lymph nodes that are enlarged, tender, and swollen by the wrist of the arm in which the vaccine was administered. Unspecified medical attention was sought. No diagnostic laboratory studies were performed. At the time of this report the patient recovered from all events but had not recovered from soreness at the injection site. No product quality complaint was involved. Additional information has been requested.


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