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This is VAERS ID 279162

Case Details

VAERS ID: 279162 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-03-27
Onset:2007-03-27
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:48
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site reaction, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA01021

Write-up: Information has been received from a physician via a company representative concerning a 16 year old female who on 27-MAR-2007 was vaccinated with a first dose of Gardasil (lot # not reported) IM from a single dose vial. On 27-MAR-2007, the patient experienced an injection site reaction almost immediately where the injection site swelled up bright red, like a balloon. Medical attention was sought. The physician reported that they rubbed it and put ice on the area in an attempt to control the swelling. The reporter stated that the physician may have given the patient Benadryl to treat the experience, but was not 100% certain. At the time of reporting, the patient improved and "is fine". Additional information has been requested.


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