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This is VAERS ID 279138

Case Details

VAERS ID: 279138 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Maryland  
Vaccinated:2007-05-10
Onset:2007-05-13
   Days after vaccination:3
Submitted: 2007-05-16
   Days after onset:3
Entered: 2007-05-21
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886 / 2 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Injection site erythema, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

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: Yasmin, Topamax, Lithium
Current Illness: None
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient noticed red bumps around injection site on 5/13/07. The patient is not sure how long the bumps had been there. She received the injection on 5/10/07. Had injection Left deltoid.


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