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This is VAERS ID 283753

Case Details

VAERS ID: 283753 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA00727

Write-up: Information has been received from a health professional, via a company representative, concerning the health professional''s 15 year old daughter, who was vaccinated with the first dose (date unspecified), the second dose (date unspecified) and the third dose (date unspecified) of Gardasil. The mother stated that her daughter had arm soreness in the area of the injection site following each vaccination; the arm soreness lasted for approximately one week and then resolved. It was unknown if the patient sought medical attention. No further information is expected.


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