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This is VAERS ID 283957

Case Details

VAERS ID: 283957 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-08
Onset:2007-05-08
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:37
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (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: WAES0705USA02720

Write-up: Information has been received from a physician concerning a 21 year old female who on 08-May-2007 was vaccinated intramuscularly with 0.5 ml of Gardasil lot #657617/0384U, and felt pain after receiving vaccine. The pain was initiated at the injection site and radiated down to her 3rd and 4th finger. There was no visual redness or swelling. This was her second vaccination. She did not have any reaction on her first vaccination. Unspecified medical attention was sought. As of 14-May-2007, the patient has not recovered from her pain. No further information is available. Additional information has been requested.


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