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This is VAERS ID 279541

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 279541 (history)  
Form: Version .0  
Age: 12.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-04-18
Onset:2007-04-18
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:26
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Unknown
Symptoms: Condition aggravated, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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:
Current Illness:
Preexisting Conditions: Plantar warts; Gastrooesophageal reflux
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Information has been received from a physician concerning a 12 year old female with a history of plantar warts and gastrooesophageal reflux who on 18-APR-2007 was vaccinated with Gardasil (lot #654535/0960F). Concomitant therapy included Varivax given at"the same visit. On 18-APR-2007, shortly after receiving the vaccination in her right deltoid, the patient experienced swelling in both of her hands but mostly in the right. The swelling occurred near areas of pre-existing Plantar warts. The patient sought


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=279541


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