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This is VAERS ID 276822

Case Details

VAERS ID: 276822 (history)  
Age: 22.0  
Gender: Female  
Location: Delaware  
Vaccinated:2007-01-19
Onset:2007-01-19
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:83
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Hyperaesthesia, Injection site anaesthesia, Injection site pain, Pain in extremity, Sleep disorder
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA03715

Write-up: This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a registered nurse, via a company representative, concerning the nurse''s daughter, a 22 year old female patient, who on 19-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of GARDASIL (Lot# 654540/0800F). There was no concomitant medication. On 19-JAN-2007, beginning at 2:00pm, the patient "experienced numbness and tenderness around the injection site." The nurse reported that her daughter had a painful deltoid for eight weeks and that sometimes the pain woke her daughter up at night and continued for a month, and indicated that "contact with the area was extremely painful. There was no swelling or erythema." On 19-FEB-2007 (previously reported as 18-FEB-2007), the patient had recovered from the numbness and tenderness, and the second dose of GARDASIL was then administered without any problems. The patient sought unspecified medical attention. No further information is expected.


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