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This is VAERS ID 278530

Case Details

VAERS ID: 278530 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-04-20
Onset:2007-04-26
   Days after vaccination:6
Submitted: 2007-05-08
   Days after onset:12
Entered: 2007-05-14
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 2 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz
Current Illness:
Preexisting Conditions: Naprosyn and Band aids
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt states she noticed nickel size knot at inj site around 6 days post inj. Has not D''d in site-tender to touch.


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