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This is VAERS ID 274732

Case Details

VAERS ID: 274732 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2007-02-26
Onset:2007-02-28
   Days after vaccination:2
Submitted: 2007-03-14
   Days after onset:13
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 UN / IM

Administered by: Public       Purchased by: Other
Symptoms: Erythema, Erythema nodosum, Haemoglobin normal, Lymphocyte count decreased, Neutrophil count increased, Pain in extremity, Red blood cell count decreased, Red blood cell sedimentation rate, Skin lesion
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Hypersensitivity (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: erythrocyte - result has not yet been obtained; Red blood cell count, 03/12/07, 3.65; Hemoglobin, 03/12/07, 11.7; Neutrophil count, 03/12/07, 64.4; Lymphocyte count, 03/12/07, 22.0
CDC Split Type: WAES0703USA00084

Write-up: Information has been received from a Licensed Practical Nurse (L.P.N.) concerning an 18 year old female patient who on 26-FEB-2007 was vaccinated with the first dose of Gardasil. Concomitant therapy included ORTHO-CYCLEN. On 28-FEB-2007 the patient developed red, painful lesions on her feet. The physician characterized the above lesions as similar to erythema nodosum. The physician ordered erythrocyte sedimentation rate (ESR) measurement, the result of which had not yet been obtained. The patient''s outcome was unknown. Additional information has been requested. This is in follow-up to reports previously submitted on 3/14/2007. Initial and follow up information has been received from a license practial nurse (L.P.N.) concerning a 18 year old female stundent who on 26-FEB-2007 was vaccinated IM in left upper quardant gluteus with her first dose of GARDASIL lot #654389/0961F. Concomitant therapy included ORTHO-CYCLEN On 28-FEB-2007 the patient developed red, painful lesions on her feet. The physician characterized the above lesions as similar to erythema nodosum. The physician ordered erythrocyte sedimentation rate (ESR) measurement, the result of which had not yet been obtained. The patient''s outcome was unknown. In follow up it was reported that the lesion started 2 days after the injection. The patient''s feet were painful night before. On 12-MAR-2007 complete blood count was done and the laboratory result of red blood cell count was 3.65. Hemoglobin 11.7. Neutrophils 64.4 and lymphocytes was 22.0. the patient was recovered. Additional information is not expected.


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