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This is VAERS ID 283752

Case Details

VAERS ID: 283752 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Ohio  
Vaccinated:2007-04-04
Onset:2007-04-04
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:71
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA00723

Write-up: Information has been received from a physician, via a company representative, concerning an 18 year old female patient, who on 30-JAN-2007 was vaccinated IM, with the first dose of Gardasil, and on 04-APR-2007 with the second dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On 04-APR-2007, following the vaccination, the patient developed "band-like swelling around her arm at the injection site," which continued for two days and then resolved. On approximately 25-APR-2007, the swelling around her arm returned; the patient had been applying cold compresses to relieve the swelling around her arm returned; the patient had been applying cold compresses to relieve the swelling. On 27-APR-2007, the physician saw the patient and reported there was no visible discoloration or bruising of the arm, though the swelling was still present. At the time of this report, it was unknown if the patient had recovered from the recurrent swelling of her arm. Additional information has been requested.


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