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This is VAERS ID 276959

Case Details

VAERS ID: 276959 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Illinois  
Vaccinated:2006-11-22
Onset:2006-11-22
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:141
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, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: WAES0704USA01284

Write-up: Information has been received from a nurse concerning an 11year old female patient who was vaccinated IM in the left deltoid with a first dose of Gardasil. Subsequently the patient experienced pain while receiving the injection. The nurse indicated that it seemed as if the needle was "too big for girls with small arms and it almost feels as if the needle is hitting the bone in the child patients." The nurse said that they have to switch to a 5/8 inch needle when administering the vaccine to patients. Unspecified medical attention was sought. the patient recovered from the arm pain. No product quality complaint was involved. Additional information is not expected.


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