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This is VAERS ID 276649

Case Details

VAERS ID: 276649 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Pennsylvania  
   Days after vaccination:7
Submitted: 2007-04-13
   Days after onset:49
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655503/0012U / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA01567

Write-up: Information has been received from a nurse practitioner concerning a 26 year old female who on 15-FEB-2007 was vaccinated with the first dose of Gardasil (yeast) (lot# 655503/0012U). On approximately 22-February-2007, "approximately one week after vaccination", the patient developed a 10 cm. firm, red area at the injection site, and a low grade fever. The patient was scheduled to be seen by a health care provider on 12-MAR-2007. At the time of this report, the outcome of the events was unknown. Additional information has been requested.

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