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This is VAERS ID 280123

Case Details

VAERS ID: 280123 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Colorado  
Vaccinated:2006-12-14
Onset:2006-12-14
   Days after vaccination:0
Submitted: 2007-05-31
   Days after onset:167
Entered: 2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 2 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0422R / 2 RA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Immediate post-injection reaction, Injection site pain, Similar reaction on previous exposure to drug
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: rash to amoxicillin and cefaclor, no birth defects or medical conditions
Allergies:
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Significant pain at injection site immediately upon (and during) both first and second injections (12/14/2006 lot 0688f and 2/16/2007 lot 1447F). Pain decreased rapidly within a minute but ache remained for approximately an hour. Daughter described pain as "worst pain after any injection she''s ever had".


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