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This is VAERS ID 281914

Case Details

VAERS ID: 281914 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-06-08
Onset:2007-06-12
   Days after vaccination:4
Submitted: 2007-06-15
   Days after onset:3
Entered: 2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / UNK GM / -

Administered by: Private       Purchased by: Unknown
Symptoms: Drug administered at inappropriate site, Full blood count, Injection site pain, Lymphadenopathy, Tenderness, White blood cell count
SMQs:, Extravasation events (injections, infusions and implants) (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levara
Current Illness: Molluscum contagiosum opposite side
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC
CDC Split Type:

Write-up: PT has Gardasil injection IM right hip upper outer quadrant on 6/8/07. On 6/13/07 pt was seen for painful swollen lymph node R inguinal area and tenderness from area of injection to lymph node. WBC count was not elevated.


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