National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274968

Case Details

VAERS ID: 274968 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-02-22
Onset:2007-02-23
   Days after vaccination:1
Submitted: 2007-03-15
   Days after onset:19
Entered: 2007-03-27
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received #3 Gardasil on 2/22/07. L arm small red dot after shot. On 2/23/07 she started to get larger with raised area on 2/24/07. Size of (2) quarters, itching on/off with minimal pain. On 3/15/07 22mm bump felt under the skin but not raised.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274968


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166