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This is VAERS ID 283964

Case Details

VAERS ID: 283964 (history)  
Form: Version 1.0  
Gender: Female  
Location: Michigan  
Submitted: 2007-07-06
Entered: 2007-06-18
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02899

Write-up: Information has been received from a physician concerning a female who was vaccinated with GARDASIL vacine (yeast)l. Subsequently the patient''s arm was sore at the injection site. The patient recovered after one month. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been eceived from a physician concerning a female who on an unspecified date was vaccinated intramuscularly with GARDASIL vaccine (yeast). The reporting physician was told by a family physician that one of his patients who he vaccinated with GARDASIl vaccine (yeast) subsequently deveolped arm swelling and was sore at the injection site for approximately 10 days post vaccination. The patient recovered after one month.No additional information is expected.

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