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This is VAERS ID 279182

Case Details

VAERS ID: 279182 (history)  
Age:   
Gender: Female  
Location: Florida  
Vaccinated:2006-09-01
Onset:2006-09-01
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:255
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA01537

Write-up: Information has been received from a physician concerning her daughter, who in September 2006, was vaccinated in the buttocks with the first dose of Gardasil, in November 2006, with the second dose of Gardasil, and in March 2007 with the third dose of Gardasil, in the arm. The physician reported that in March 2007, following the third vaccination, her daughter experienced slight pain in her arm at the injection site. At the time of this report, it was unknown if the patient had recovered from the injection site pain. Additional information has been requested.


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