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This is VAERS ID 283770

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283770
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Haematoma, Pain in extremity, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
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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