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This is VAERS ID 276132

Case Details

VAERS ID: 276132 (history)  
Form: Version 1.0  
Age: 27.0  
Gender: Female  
Location: California  
Vaccinated:2007-02-27
Onset:2007-03-01
   Days after vaccination:2
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. - / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site pruritus, Injection site rash, Medication error
SMQs:, Hypersensitivity (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: [therapy unspecified]
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA00515

Write-up: Information has been received from a 27 year old female with no allergies who had no problem with her first dose of Gardasil. On 27-FEB-2007 the patient received her second dose of Gardasil via injection. Concomitant therapy included "YAZ" (therapy unspecified). On 01-MAR-2007 the patient experienced bumps and itchiness where she received her Gardasil shot. The patient did not seek medical attention. As of 02-MAR-2007 the patient was not recovered. Additional information has been requested.


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