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This is VAERS ID 283933

Case Details

VAERS ID: 283933 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-05-08
Onset:2007-05-10
   Days after vaccination:2
Submitted: 2007-06-14
   Days after onset:35
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 2 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Sulfonamide allergy; drug hypersensitivity; adhesive tape allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02192

Write-up: Initial and follow up information has been received from a registered nurse concerning a Caucasian 24 year old female student with sulfonamide allergy, drug hypersensitivity and surgical tape allergy who on 08-MAY-2007 at PM was vaccinated IM in the right deltoid with her second dose of Gardasil (Lot #657617/0384U). On 10-MAY-2007 at AM the patient experienced pain and developed swelling at the injection site, patient also had a fever and felt nauseous after receiving Gardasil. The nurse recommended TYLENOL and BENADRYL and to use an ice pack at the injection site. In follow up it was reported that on 10-MAY-2007 at AM the patient also developed redness at the injection site and took BENADRYL and TYLENOL and ice to the injection site. On 11-MAY-2007 it was reported that the patient''s condition improved. Additional information is not expected.


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