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This is VAERS ID 276923

Case Details

VAERS ID: 276923 (history)  
Age: 14.0  
Gender: Female  
Location: Florida  
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. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Contusion, Erythema
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA05366

Write-up: Information has been received from a nurse practitioner concerning a 14 year old female who, on an unspecified date, was vaccinated with a dose of Gardasil. On an unspecified date, the nurse practitioner stated that she "received an email from the CDC with a picture of a girl who had bruises and redness after receiving the Gardasil." At the time of this report, the outcome was unknown. No product quality complaint was involved. No further information is available.


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