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This is VAERS ID 281045

Case Details

VAERS ID: 281045 (history)  
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 / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0126U / 1 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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
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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