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This is VAERS ID 279183

Case Details

VAERS ID: 279183 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:46
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Immediate post-injection reaction, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Attention deficit/hyperactivity disorder
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA01543

Write-up: Initial and follow-up information has been received from a Nurse Practitioner (N.P.) concerning a 16 year old female patient with Attention Deficit Hyperactivity Disorder (ADHD) who on 29-MAR-2007 was vaccinated with a first dose of Gardasil. The patient was upset and crying prior to the first injection, because of fear of vaccination. The patient said that when the injection was administered it felt as if they were injecting fire into her arm. The injection site immediately developed an erythematous raised area about 3 inches in diameter. The raised area was red and warm to touch. The patient''s mother reported that there was a red area on the chest wall in addition to the reaction at the injection site. The nurse practitioner did not see the chest wall reaction. The patient was kept in the office and was given Benadryl 50 mg and ice was applied to the injection site. On 29-MAR-2007 the reaction subsided and the patient recovered. Additional information has been requested.

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