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This is VAERS ID 276646

Case Details

VAERS ID: 276646 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-01-08
Onset:2007-01-08
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:94
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Pain in extremity, Underdose
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Medication errors (broad)

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: Cymbalta
Current Illness:
Preexisting Conditions: Menstrual migraine
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA01524

Write-up: Information has been received from a certified medical assistant concerning a 21 year old female with a history of menstrual migraine who on 08-JAN-2007 was vaccinated with her first dose of Gardasil (lot # 655165/1425F). Concomitant therapy included duloxetine hydrochloride (CYMBALTA). On 08-JAN-2007 the patient experienced redness of the arm and itching at the site of injection, which spread to itching around the injection site. The patient also had pain radiating down the right arm for a few weeks. Unspecified medical attention was sought. Subsequently, the patient recovered after 3 weeks. The medical assistant also mentioned that the patient had been vaccinated on 09-Mar-2007 with her 2nd dose of Gardasil (lot# 656372/0243U) and received less than 1/2 the normal dose for reason unknown. It was reported that the injection site was immediately itchy. No product quality complaint was involved. Additional information has been requested.


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