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This is VAERS ID 276928

Case Details

VAERS ID: 276928 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Pennsylvania  
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: Injection site pruritus

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
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA05418

Write-up: Information has been received from a physician, via a company representative, concerning a 21 year old female patient who was vaccinated (date not specified) with a dose of Gardasil vaccine (yeast). Right after the shot was administered, the patient experienced "more than moderate itching" at the injection site. At the time of this report, the physician reported that the patient was recovering. The patient sought unspecified medical attention. The patient''s two sisters also experienced the event as described above after vaccination with Gardasil vaccine (yeast) (WAES0703USA04922, 0703USA05417). Additional information has been requested.

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