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This is VAERS ID 279055

Case Details

VAERS ID: 279055 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Iowa  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   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: Burning sensation, Headache, Injection site irritation
SMQs:, Peripheral neuropathy (broad), 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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00605

Write-up: This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a receptionist in a physician''s office concerning her daughter who was "not too long ago" vaccinated with a first dose of Gardasil. The patient stated to her mother that the injection site burned like fire. The patient also developed a headache after leaving the office. The patient''s physician was not contacted by the reporter or the patient regarding the patient''s experience. It was reported that the patient''s injection site irritation and headache did improve. Follow-up information was received from the physician''s office indicating that they do not know which patient this event pertains to. Additional information is not expected.


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