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This is VAERS ID 276130

Case Details

VAERS ID: 276130 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-01
Onset:2007-03-01
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:35
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA00483

Write-up: Information has been received from a physician''s assistance concerning a female who on 01-MAR-2007 was vaccinated with Gardasil. On 01-MAR-2007, the patient experienced a little blood at injection site when Gardasil was administered. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.


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