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This is VAERS ID 283779

Case Details

VAERS ID: 283779 (history)  
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. - / 1 UN / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA01337

Write-up: Information has been received from a physician concerning an 18 year old female stude3nt who on 30-JAN-2007 was vaccinated with her first dose of Gardasil there were no symptoms after the first dose. On 04-APR-2007 the patient was vaccinated with her second dose of Gardasil. On approximately 04-APR-2007 patient had swelling for 2 days and then resolved. On 25-APR-2007 when the patient experienced induration at injection site. Additional information has been requested.


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