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This is VAERS ID 279550

Case Details

VAERS ID: 279550 (history)  
Age: 23.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site mass, No reaction on previous exposure to drug
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA05534

Write-up: Information has been received from a health professional concerning a 23 year old female who was vaccinated with a second dose of Gardasil (date unspecified). Subsequently, one week following the injection, the patient developed a bump at the injection site. It was reported that the patient had no adverse events following the first dose of Gardasil (date unspecified). Additional information has been requested.


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