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This is VAERS ID 283943

Case Details

VAERS ID: 283943 (history)  
Form: Version 1.0  
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 / UNK 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
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: cough, cold, and flu therapies
Current Illness:
Preexisting Conditions: None
Allergies:
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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