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This is VAERS ID 276924

Case Details

VAERS ID: 276924 (history)  
Age:   
Gender: Female  
Location: Connecticut  
Vaccinated:2007-02-16
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. 0011U / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site discolouration, Skin depigmentation
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LO/OVRAL
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA05382

Write-up: Information has been received from a registered nurse concerning a female who on 16-FEB-2007 was vaccinated with her first dose of Gardasil (lot# 654702-0011U). Concomitant therapy included ethinyl estradiol/norgestrel (LO/OVRAL). Subsequently the patient experienced depigmentation at the right deltoid injection site. Unspecified medical attention was sought. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested.


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