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This is VAERS ID 279138

Case Details

VAERS ID: 279138 (history)  
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 / 1 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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Topamax, Lithium
Current Illness: None
Preexisting Conditions: none
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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