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This is VAERS ID 283932

Case Details

VAERS ID: 283932 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:30
Submitted: 2007-06-14
   Days after onset:44
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0705USA02180

Write-up: Information has been received from a certified medical assistant and a physician (patient''s dermatologist) concerning a 14 year old female student who was vaccinated in April 2007 with her third dose of Gardasil in the left arm and developed an injection site reaction. There was no concomitant medication. In May 20007 the patient developed left arm swelling, redness, tenderness and warm and firm to touch. The patient noted this did not happen with the first and second injections. The patient had recovered three weeks post injection. The patient''s OB/GYN office who administered the Gardasil was not concerned. The patient''s mother was concerned and took her to a dermatologist. Cool compresses were recommended for the patient. Additional information has been requested.

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