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This is VAERS ID 281045

Case Details

VAERS ID: 281045 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Virginia  
Vaccinated:2007-05-29
Onset:2007-05-31
   Days after vaccination:2
Submitted: 2007-06-05
   Days after onset:5
Entered: 2007-06-08
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0126U / 2 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site cellulitis, Injection site induration, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: seen 5/31/07 4cm x 5 cm area with induration-severe tenderness (L) deltoid area. Diagnosed with Cellulitis secondary to Gardasil injection. Treated with antibiotic-Augmentin 400 mg chews Ztabs po BID x 10 days. Motrin 2 tabs Q6hrs, as needed for pain.


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