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This is VAERS ID 279556

Case Details

VAERS ID: 279556 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-03
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. - / 2 - / -

Administered by: Private       Purchased by: Other
Symptoms: Injection site mass, Injection site pain
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: WAES0704USA05697

Write-up: Information has been received from an office manager concerning a female (age not reported) who on 03-APR-2007 was vaccinated with the third dose of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified date after the patient received her third dose of Gardasil, the patient developed a lump and soreness at the injection site. The patient sought unspecified medical attention. The patient''s lump and soreness at injection site persisted. Additional information has been requested.


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