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This is VAERS ID 276686

Case Details

VAERS ID: 276686 (history)  
Age: 17.0  
Gender: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   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: Injection site bruising
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA03072

Write-up: Information has been received from a certified medical assistant (CMA) concerning a 17 year old female who was vaccinated with a second dose of Gardasil five week after vaccination with the first dose. Subsequently, the patient developed a "bruise" at the injection site. The patient sought unspecified medical attention. The outcome of the patient''s injection site bruising was unknown. Additional information has been requested.


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