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This is VAERS ID 278530

Case Details

VAERS ID: 278530 (history)  
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 / 1 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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz
Current Illness:
Preexisting Conditions: Naprosyn and Band aids
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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