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This is VAERS ID 274968

Case Details

VAERS ID: 274968 (history)  
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. - / 2 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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
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.


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