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This is VAERS ID 276860

Case Details

VAERS ID: 276860 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:90
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Swelling, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04152

Write-up: Information has been received from a registered nurse, via a company representative, concerning a female patient (age not reported) who was vaccinated in the right arm with a first dose of Gardasil (date unspecified), followed by a second dose of Gardasil (date unspecified). Subsequently, after the first vaccination the patient developed swelling of two fingers on her left hand. Following the second vaccination, the patient had a recurrence of the swelling in her fingers on her left hand. The nurse indicated that the swelling had improved. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) prevously submitted on 4/13/2007. The MA reported that 12 hours after the first vaccination was administered, the patient developed swelling with redness and pain in two fingers, the middle and fith digit, on her right hand (previously identified as left hand), confirmed as the opposite arm of the vaccination. The swelling lasted approximately 2-3 days. Following the second dose, again 12 hours after the vaccination was administered, the patient had a recurrence of the swelling with pain and redness, in the same fingers of the same hand. The MA stated the recurrent symptoms lasted 1 to 1 1/2 days, and indicated the patient had full recovered. The patient sought unspecified medical attention. No further information is expected.

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