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This is VAERS ID 276111

Case Details

VAERS ID: 276111 (history)  
Gender: Unknown  
Location: Alabama  
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:48
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other       Purchased by: Other
Symptoms: Drug administered at inappropriate site, No adverse effect
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA03810

Write-up: Information has been received from a nurse that on 16, Feb 2007, they administered a dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) in a patient''s hip. No adverse event was reported. Additional information has been requested.

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