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This is VAERS ID 279319

Case Details

VAERS ID: 279319 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-05-07
Onset:2007-05-09
   Days after vaccination:2
Submitted: 2007-05-16
   Days after onset:7
Entered: 2007-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03840 / 1 RA / -

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Injection site erythema, Injection site induration, Injection site pain, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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

Write-up: Vaccination given 05/07/07. Patient reports dizziness and nausea starting 5/09/07 et continues. 5/14/07 redness et hardness noted at injection site. Injection site s/s worsened 5/15/07. On 5/16/07 site less red with 1.2 cm hardened area noted with slight tenderness.


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