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This is VAERS ID 279317

Case Details

VAERS ID: 279317 (history)  
Age: 17.0  
Gender: Female  
Location: Hawaii  
Vaccinated:2007-05-02
Onset:2007-05-09
   Days after vaccination:7
Submitted: 2007-05-17
   Days after onset:8
Entered: 2007-05-23
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 RA / IM

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

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

Write-up: Receive vaccine 5/2/07 L deltoid. No initial reaction (no fever, pain, swelling at site). On 5/9/07 noticed painful swelling L deltoid with redness, increased to maximum size evening 5/9/07. Pt seen on 5/10/07 and had 2 1/2 cm subcutaneous erythematous area of induration - mobile, mildly tender on left deltoid (pt said smaller then previous night). On phone following 5/12/07 pt said swelling almost gone (only small bump - nontender).


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