National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276689

Case Details

VAERS ID: 276689 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Pennsylvania  
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:43
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA03130

Write-up: Information has been received from a nurse a female who on an unspecified date was vaccinated with Gardasil (0.5 ml) (lot # 655503/0012U). It was reported that several days following vaccination the patient experienced a sharp, shooting pain at the injection site. Unspecified medical attention was sought. No further details were provided. At the time of this report, the patient had not recovered. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow-up information has been received from a nurse a 26 year old female with no pertinent medical history who on 28-FEB-2007 was vaccinated, into the left deltoid, with a first dose of GARDASIL (0.5 ml) (lot # 655503/0012U). On 28-FEB-2007, the patient experienced a sharp, shooting pain at the injection site. The patient called the physician''s office on 14-MAR-2007 at 14:00. It was reported that the pain "comes and goes" and the pain is "worse than the injection". Subsequently, the patient recovered. No further information is available.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166