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This is VAERS ID 276865

Case Details

VAERS ID: 276865 (history)  
Age: 20.0  
Gender: Female  
Location: New York  
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / - - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04175

Write-up: Information has been received from a Registered Nurse (R.N.) concerning a 20 year old female patient who on 16-FEB-2007 was vaccinated IM in the deltoid muscle with a dose of Gardasil vaccine (yeast), lot # 655617/1447F. The patient recently noted a small lump in her deltoid muscle at the injection site, also described as a bump in her arm at injection site. Unspecified medical attention was sought. The patient was recovering as of the report day. Additional information has been requested.

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