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This is VAERS ID 279236

Case Details

VAERS ID: 279236 (history)  
Age: 12.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-04-10
Onset:2007-04-10
   Days after vaccination:0
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. 0244U / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site pruritus
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA03491

Write-up: Information has been received from a physician, concerning a 12 year old female patient who on 10-APR-2007, was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #656051/0244U). There was no concomitant medication. The physician reported that the patient developed pruritus at the injection site within minutes of the vaccine administration. Treatment included Benadryl. At the time of this report, the physician confirmed that the patient had recovered (date not specified). Additional information has been requested.


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