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This is VAERS ID 279687

Case Details

VAERS ID: 279687 (history)  
Age: 23.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-10-03
Onset:2006-10-03
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:223
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / - UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Pain, Vaccine positive rechallenge
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA01296

Write-up: Information has been received from a physician concerning a 23 year old female who on 03-OCT-2006 was vaccinated with Gardasil (lot # 653736/0689F). The patient received her second dose of Gardasil (lot # 653736/0689F) on 08-DEC-2006 and her third dose (lot # 653736/0014U) on 02-APR-2007. The patient experienced soreness and pain for 2 to 3 days after each dose of Gardasil. The patient''s outcome was not recovered. No further information is available.


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