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This is VAERS ID 279666

Case Details

VAERS ID: 279666 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Colorado  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:28
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Injection site mass, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives, VALTREX
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA00168

Write-up: Information has been received from a registered nurse, concerning a 20 year old female who on approximately 16-APR-2007 was vaccinated with the first dose, IM in the right deltoid, 0.5ml, of Gardasil. Concomitant therapy included Valtrex and hormonal contraceptives (unspecified). Immediately after the injection (approximately 16-APR-2007), the patient''s arm was sore. On 30-APR-2007, two weeks later, the nurse confirmed the soreness continued and the patient complained her arm with any pressure applied; in addition, a small lump was present under the skin at the injection site. At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.

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