National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279160

Case Details

VAERS ID: 279160 (history)  
Age: 14.0  
Gender: Female  
Location: Georgia  
Vaccinated:2007-02-02
Onset:2007-02-02
   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
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

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
Died? No
Permanent Disability? No
Recovered? Yes
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.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279160


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166