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This is VAERS ID 279514

Case Details

VAERS ID: 279514 (history)  
Form: Version 1.0  
Gender: Female  
Location: Arizona  
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA05053

Write-up: Information has been received from a Medical Assistant (M.A.) concerning a female patient who was vaccinated with a first dose of Gardasil. The patient developed her arm being sore, red and hot one day after the injection was given (a Friday). The patient was seen on Monday and the arm was not as red, swollen and hot. She was told to take Tylenol for discomfort. The MA believed that the patient had the second dose of Gardasil and she was okay. The outcome was unknown. Additional information has been requested.

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