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This is VAERS ID 279648

Case Details

VAERS ID: 279648 (history)  
Age: 10.0  
Gender: Female  
Location: Kansas  
Vaccinated:2007-03-26
Onset:2007-03-26
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:49
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Burning sensation
SMQs:, Peripheral neuropathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA00011

Write-up: Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. There was no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought medical attention. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a licensed practical nurse (LPN) concerning a 10 year old female, who on 26-MAR-2007, was vaccinated intramuscularly with a 0.5 mL dose of GARDASIL, (Lot # 657868/0523U), expiration date 09-FEB-2010). There were no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought unspecified medical attention. The symptom lasted for a few minutes. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. In follow-up it was reported by the LPN that the patient complained of burning and soreness at the injection site after the medication was administered. It was reported that the burning lasted for approximately one hour. At the time of the report, it was unknown if the patient recovered from soreness at injection site. No medication treatment was needed. Additional information has been requested.


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