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This is VAERS ID 276810

Case Details

VAERS ID: 276810 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Connecticut  
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:34
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / UN

Administered by: Private       Purchased by: Other
Symptoms: Burning sensation, Injection site pain, Nausea, Wrong technique in drug usage process
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Medication errors (narrow)

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: hormonal contraceptives
Current Illness: Penicillin allergy; Specific allergy (drug)
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA03601

Write-up: Information has been received from a physician at an university student health facility concerning a 22 year old female with a penicillin and amoxicillin allergies and no pertinent medical history who had no problems with her first dose of Gardasil and was vaccinated at a private physician''s office with the second dose on 09-MAR-2007 of Gardasil. Concomitant therapy included unspecified hormonal contraceptives. On 09-MAR-2007 the patient experienced burning sensation in arm in which she was vaccinated as well as nausea. The patient stated that she was vaccinated high in her arm possibly in the joint space which caused her immediate discomfort. She thought the needle hit her joint. The patient sought unspecified medical attention. As of 19-MAR-2007 the patient continued to have pain in the arm and shoulder which she thought was due to the injection technique. The patient took ibuprofen which helped the pain. The patient planned to see someone in the sports-medicine department for further assessment. Additional information has been requested.

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