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This is VAERS ID 283943

Case Details

VAERS ID: 283943 (history)  
Age: 26.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-09
Onset:2007-05-09
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:36
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / - UN / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Incorrect route of drug administration, Medication error, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cough, cold, and flu therapies
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA02386

Write-up: Information has been received concerning a 26 year old female nursing student who on 09-MAY-2007 vaccinated herself with Gardasil (LOT#654741/1208P) which was exposed to room temperatures for about 4 hours, subcutaneously in her left arm. Concomitant therapy included cough, cold, and flu therapies (unspecified). On 09-MAY-2007 the patient''s left arm hurt. The patient''s experience persisted. Additional information is not expected.


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