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This is VAERS ID 276823

Case Details

VAERS ID: 276823 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:101
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

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

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: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA03725

Write-up: Information has been received from a pharmacist concerning her daughter, a female "in her early 20''s," who in January 2007, was vaccinated with the second dose, 0.5ml, IM, of Gardasil. The pharmacist reported she did not think her daughter received the full 0.5ml dose, and stated there was "some of the suspension remaining" in the vial. In additional, the pharmacist reported her daughter developed a sore arm, which she believed was "from the nurse''s administration technique and not from the product." The patient sought unspecified medical attention. No further information is available.

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