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This is VAERS ID 279657

Case Details

VAERS ID: 279657 (history)  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-23
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. 0011U / - LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Injection site mass, Oedema peripheral, Pain in extremity, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING
Current Illness: Papilloma viral infection
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA00077

Write-up: Information has been received from a 24 year old female with papilloma viral infection who on 23-FEB-2007 was vaccinated with Gardasil (lot #654702/0011U). Concomitant therapy Nuvaring. Subsequently the patient experienced arm pain, swelling, itchiness, redness, and lump at injection site on left deltoid. Unspecified medical attention was sought. The patient status was reported as recovering. No product quality complaint was involved. Additional information has been requested.


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