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This is VAERS ID 283770

Case Details

VAERS ID: 283770 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:69
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Haematoma, Immediate post-injection reaction, Pain in extremity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA01152

Write-up: Information has been received from a nurse concerning an 18 year old female who on 06-APR-2007 was vaccinated with her second dose of Gardasil. Concomitant therapy included NUVARING. On 06-APR-2007, right after receiving the vaccination, the patient experienced a lot of pain and 2 days later developed a hematoma on her left deltoid arm of 3.5 cm in size. It was reported that the patient sought unspecified medical attention. The patient''s pain and hematoma persisted. No further details were provided. Additional information has been requested.

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