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This is VAERS ID 283813

Case Details

VAERS ID: 283813 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-01
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. - / 2 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: WAES0705USA02075

Write-up: Information has been received from a licensed visiting nurse concerning a 17 year old female who in February 2007 was vaccinated with the first dose of Gardasil. A second dose of Gardasil was received on an unspecified date. Concomitant medication was not reported. In 2007, the patient experienced injection site redness. The patient sought unspecified medical attention. The outcome of the event was not reported. Additional information has been requested.


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