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This is VAERS ID 276956

Case Details

VAERS ID: 276956 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Unknown  
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 - / IM

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

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: WAES0704USA00701

Write-up: Information has been received from a physician assistant concerning a 14 year old female who was vaccinated, intramuscularly with the first dose of Gardasil vaccine (yeast) (dose and date not provided). It was reported that the patient received the Gardasil vaccine (yeast) from the state and 2 days post vaccination experienced swelling 6.5 to 7 centimeters in diameter that was cellulitis-like swelling around the injection site. The patient sought unspecified medical attention. The physician assistant reported that the patient was seen in the office on 26-MAR-2007 and treated with BENADRYL for the symptoms. No lot number was provided. At the time of the report, it was unknown, if the patient recovered. It was also reported that the patient''s 11 year old sister had the same experience after receiving the Gardasil vaccine (yeast) from the state. (WAES0703USA05406). Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested.

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