National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276106

Case Details

VAERS ID: 276106 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Connecticut  
Vaccinated:2006-12-18
Onset:2006-12-26
   Days after vaccination:8
Submitted: 2007-04-06
   Days after onset:100
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 RA / IJ

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, 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? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: Penicillin allergy
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0701USA00301

Write-up: This is in follow-up to report(s) previously submitted on 4/6/2007. Information has been received from a physician concerning a 22 year old female working in public relations (weight 146#, height 64.5") with pertinent medical history and penicillin allergy who on 18-DEC-2006 (before Christmas) was vaccinated with the first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot #654540/1151F), injection, 0.5 mL, in the right deltoid. Concomitant medication was not reported. Subsequently, on 26-DEC-2006, the patient called the physician''s office and complained of redness, swelling, soreness and itching at injection site from the last week. The physician instructed the patient to ice the site locally and take BENADRYL OTC and CHLOR-TRIMETON for the itch. The patient sought unspecified medical attention. On 28-DEC-2006, the patient recovered from the events. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276106


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