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This is VAERS ID 279160

Case Details

VAERS ID: 279160 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Georgia  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:100
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Drug administered at inappropriate site, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00985

Write-up: Information has been received from a physician''s assistant and a nurse, concerning the nurse''s 14 year old daughter, who on 02-FEB-2007, was vaccinated in the right hip, with the first dose, 0.5ml, of Gardasil, and on 04-APR-2007 was vaccinated in the back of her right arm, with the second dose, 0.5ml, of Gardasil. The nurse reported that on 04-APR-2007, the vaccination was administered near her daughter''s elbow "in the area of subcutaneous fat," and added that her daughter experienced "injection site soreness" in her right arm. The nurse reported that the arm soreness resolved on the same day, 04-APR-2007. Additional information has been requested.

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