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This is VAERS ID 276655

Case Details

VAERS ID: 276655 (history)  
Age: 19.0  
Gender: Female  
Location: New Hampshire  
Vaccinated:2007-03-05
Onset:2007-03-05
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:38
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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: WAES0703USA02121

Write-up: Initial and follow-up information has been received from a physician and a Registered Nurse (R.N.) concerning a 19 year old female who on 05-MAR-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil. Patient developed immediate swelling and erythema at the injection site. No other symptoms appeared. No prescription medication was provided. The patient recovered within the time she was in the office. Additional information is not expected.


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