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This is VAERS ID 279554

Case Details

VAERS ID: 279554 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: New Jersey  
   Days after vaccination:2
Submitted: 2007-05-14
   Days after onset:17
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Injection site bruising, Injection site haemorrhage, Injection site pain, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: WAES0704USA05655

Write-up: Information has been received from a physician concerning a 26 year old female patient who on 25-APR-2007 was vaccinated IM in the left deltoid with her second dose of Gardasil. On the Friday after the injection, 27-APR-2007, swelling and bruising appeared at the injection site. On the Saturday after the injection, the injection site began to bleed. The patient stopped the bleeding with a compress and sought medical attention. She was fully recovered on an unspecified date. Additional information has been requested. Follow up information has been received concerning the medical assistant who at 8:20 a.m. on 15-APR-2007 was vaccinated IM in left deltoid with her second dose of GARDASIL. Two days after the injection the injection site was very sore and started to bleed. It was reorted that the injection site remained sore and bruised looking. Additional information is not expected.

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