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This is VAERS ID 279470

Case Details

VAERS ID: 279470 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Georgia  
Vaccinated:2007-05-16
Onset:2007-05-16
   Days after vaccination:0
Submitted: 2007-05-18
   Days after onset:2
Entered: 2007-05-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / 2 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

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: Yasmin 28
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type: NOC006410901

Write-up: Patient called on 5/17/07 at 10:00 am (24 hours after injection to complain of immediate stinging at injection site followed by slight redness and severe pain. Difficulty moving arm. Had 1st injection on 3/16/07 with no adverse reaction. (48 hours later still complain of slight soreness).


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