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This is VAERS ID 279212

Case Details

VAERS ID: 279212 (history)  
Age: 26.0  
Gender: Female  
Location: New York  
Vaccinated:2007-04-09
Onset:2007-04-10
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:34
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 1 UN / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA02545

Write-up: Information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of Gardasil lot #653736/0014U. On 09-APR-2007 the patient was vaccinated with a second dose of Gardasil. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major." On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger," and was "two-three inches in diameter." The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of GARDASIL. On 09-APR-2007 the patient was vaccinated with a second dose of GARDASIL lot #653736/0014U. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major". On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger" and was "two-three inches in diameter". The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. In follow up it was reported that patient had flu at the time of the second injection was given and she was hit on arm the next day which was on 10-APR-2007 (previously reported as on 11-APR-2007). The outcome is unknown. Additional information is not expected.


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