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This is VAERS ID 274730

Case Details

VAERS ID: 274730 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Florida  
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:42
Entered: 2007-03-16
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Nausea, Oedema peripheral, Pain in extremity, Pyrexia, Vomiting
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Drug hypersensitivity
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00058

Write-up: Information has been received from a physician, via a company representative concerning a female patient who on approximately 21 Feb 2007 ("last week") was vaccinated with the first dose of Gardasil. The physician reported that the "patient came back a few days after first dose of (Gardasil) and complained arm pain, swelling, fever and nausea" (approximately 23 Feb 2007). The physician confirmed that the patient had recovered "after a few days" (approximately 26 Feb 2007). The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 03/14/2007. Initial and follow up information has been received from a physician, concerning a 20 year old female student with allergies to ZITHROMAX and CLARITIN who on 22-FEB-2007 (previously reported as approximately 21-FEB-2007) was vaccinated with the first dose, 0.5ml. IM, of GARDASIL (Lot # 654702/0011U). The physician reported 10 hours after injection the patient developed a swollen left arm then fever, nausea and vomiting. The physician clarified that the "patient did not seek medical care for these problems," but that she reported them to him at the next visit (28-FEB-2007) (previously reported as the "patient came back a few days afte first dose"). The physician confirmed that the patient had recovered from the swollen arm, fever, neausea and vomiting on 28-FEB-2007 (originally reported as recovered "after a few day," approximately 26-FEB-2007). No further informaton is expected.

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