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This is VAERS ID 279216

Case Details

VAERS ID: 279216 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Ohio  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:90
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Injection site irritation, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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: [therapy unspecified] LEXAPRO
Current Illness:
Preexisting Conditions: Sulfonamide allergy; Penicillin allergy
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA02663

Write-up: Information has been received from a Registered Nurse (R.N.) concerning a 26 year old female with sulfonamide allergy and penicillin allergy who on 12-FEB-2007 was vaccinated IM with a first dose of Gardasil, lot #654702/0011U and in APR, 2007 received the second dose of Gardasil. Concomitant therapy included escitalopram oxalate (LEXAPRO) and TRI-NASAL (therapy unspecified). The patient reported a painful burning feeling at the injection site after both dose one and dose two. The patient also reported that the injection site was sore for about two weeks after the first injection. Patient sought unspecified medical attention. The patient was reported as recovering at the time of this report. Additional information has been requested.

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