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This is VAERS ID 279217

Case Details

VAERS ID: 279217 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Ohio  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:89
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pruritus, Injection site swelling, Reaction to previous exposure to any vaccine
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: Fever; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA02699

Write-up: Information has been received from a Medical Assistant (M.A.) concerning a 25 year old female patient with a history of high fever after receiving the tetanus toxoid years ago who on 13-FEB-2007 was vaccinated IM in the Left arm with a first dose of Gardasil lot #655618/0186U. Years ago the patient developed swelling, redness and itching of left arm after the first injection and went to the Emergency Room (E.R.) and she was provided antibiotics. On an unspecified date, patient was vaccinated in Right arm with a second dose of Gardasil lot #657617/0384U. She developed swelling, redness and itching of right arm after the second injection and went to see her primary physician. The physician administered antibiotics and felt that event was Cellulitis without a cut causing the event. Patient had high fever after receiving the tetanus toxoid years ago. The patient recovered from the events. Additional information has been requested.

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