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This is VAERS ID 283782

Case Details

VAERS ID: 283782 (history)  
Form: Version 1.0  
Age:   
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. - / 1 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Drug administered at inappropriate site
SMQs:, Medication errors (narrow)

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:
CDC Split Type: WAES0705USA01500

Write-up: Initial and follow-up information has been received from a registered nurse concerning a college-aged female who in the past was vaccinated with a dose of Gardasil in the gluteal area from another provider and there was less pain. It was reported that the patient experienced burning pain after receiving the vaccination. This is one of several reports received from the same source. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Follow-up information was received from the registered nurse. On an unspecified date the patient requested the injection to be administered at an alternate site due to post-injection pain after the first dose. The patient was vaccinated with the second dose of GARDASIL 0.5 mL in the gluteal area. It was reported that the patient experienced burning pain after receiving the vaccination. At the time of reporting the patient had recovered. This is one of several reports received from the same source. Further information is not available.


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