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This is VAERS ID 276904

Case Details

VAERS ID: 276904 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Immediate post-injection reaction, Injection site swelling, No reaction on previous exposure to drug
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

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: WAES0703USA04988

Write-up: Information has been received from a nurse practitioner (NP), via a company representative, concerning a female patient, who was vaccinated in her deltoid muscle with the second dose, 0.5ml, of Gardasil (date unspecified). The NP stated that "immediately after the administration of the vaccine," the patient developed swelling in an "adjacent part of the injection site." The NP confirmed that the patient did not have a reaction following her first dose of Gardasil (date unspecified). At the time of the report, the NP stated the patient was recovering from the event. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up reports previously submitted on 4/13/2007. Information has been received from a nurse practioner, concerning a female patient, who was vaccinated with a dose 0.5ml of PNEUMOVAX 23 (previously reported by the company representive as swelling at the injection site from GARDASIL. The NP reported that the patient had a severe reaction to the PNEUMOVAX 23 (details not specified). It was unknown if the patient had recovered from the event. Additional information has been requested.

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