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This is VAERS ID 276918

Case Details

VAERS ID: 276918 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Wyoming  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA05281

Write-up: Information has been received from a physician, via a company representative, concerning a female patient who was vaccinated (date not specified) with the first dose of Gardasil. Subsequently the patient experienced prolonged pain at the injection site. The patient was scheduled for an evaluation visit at the physician''s office. Additional information has been requested.


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