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This is VAERS ID 276252

Case Details

VAERS ID: 276252 (history)  
Age: 32.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-10-01
Onset:2006-10-01
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:187
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Medication error, Pain, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04517

Write-up: Information has been received from a certified family nurse practitioner (CFNP) concerning a 25 year old female clinic employee who in August 2006 was vaccinated with first dose of Gardasil (lot # not reported). In October 2006, the patient was vaccinated with second dose of Gardasil (lot # not reported. In February 2007, the patient was vaccinated with third dose of Gardasil (lot # not reported). In October 2006, the patient recovered after three days. In February 2007, the patient again experienced stinging and sore arm after the third vaccination. The patient recovered after three days. Additional information was received from the CFNP via telephone. The sore arm lasted about 3 days. There was no reaction with the first dose which came from a pre-loaded syringe. The second and third doses of vaccine were from a vial. No additional information has been received.


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