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This is VAERS ID 276837

Case Details

VAERS ID: 276837 (history)  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-19
Onset:2007-03-19
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:25
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Feeling cold, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA03920

Write-up: Information has been received from a pharmacist concerning a 14 year old female patient, who on 19-MAR-2007 was vaccinated in the right arm, with the first dose of Gardasil (yeast). There was no concomitant medication. On 19-MAR-2007, "within one hour of the vaccination," the patient developed swelling and coldness in the right arm and hand. The patient was reported to be recovering at the time of this report. The patient sought unspecified medical attention. Additional information has been requested.


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