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This is VAERS ID 279044

Case Details

VAERS ID: 279044 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:132
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Private       Purchased by: Other
Symptoms: Cellulitis, Eschar, Injection site abscess, Injection site erythema, Localised infection, Pharyngolaryngeal pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA00418

Write-up: Information has been received from a physician concerning a 15 year old female who in January 2007, was vaccinated with the first dose of Gardasil. Concomitant medication was not reported. In January 2007 within days of the vaccination, the patient developed redish patches on her distal arm near injection site after her first vaccination with Gardasil. Near the injection site was a small abscess with tiny eschar over it. The event was inferior and anterior to the injection site. The physician stated that it could be an infected follicle or low grade cellulitis. The patient also had a sore throat. The patient sought unspecified medical attention and was treated with Keflex. The patient''s redish patches on distal arm near injection site, small abscess with tiny eschar over it and sore throat persisted. Additional information has been requested.

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