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This is VAERS ID 275299

Case Details

VAERS ID: 275299 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Kentucky  
   Days after vaccination:2
Submitted: 2007-03-31
   Days after onset:3
Entered: 2007-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Oedema peripheral, Paraesthesia
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: Previcid, Yaz
Current Illness: no
Preexisting Conditions: Reflux
Diagnostic Lab Data:
CDC Split Type:

Write-up: Gardasil give in Right Deltoid on Monday March 26. On Wed, March 28, patient reported itching, swelling and redness in Right upper arm. 4 1/2 inch by 5 inch red, swollen, hot area noted on upper right arm. Taken to see MD on Thursday March 29. Patient started on Omnicef 300mg BID, Zyrtec 10mg QD, cool compresses and Advil PRN. On Saturday, March 31, Patient becan complaints of tingling in fingers of Rt. hand. Rt. arm 3-4 cm larger than left arm. Called Dr. instructed to elavate arm and give Advil around the clock. Report increase swelling or symptoms to physician.

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