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This is VAERS ID 276905

Case Details

VAERS ID: 276905 (history)  
Age: 24.0  
Gender: Female  
Location: Utah  
Vaccinated:2007-03-16
Onset:2007-03-19
   Days after vaccination:3
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 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA05005

Write-up: Information has been received from a certified medical assistant, concerning a 24 year old white female receptionist, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of Gardasil. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a certified medical assistant, concerning a 24 year old female, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of GARDASIL. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. The CMA confirmed that the patient was recovered on 23-MAR-2007. Additional information is not expected.


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