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This is VAERS ID 283968

Case Details

VAERS ID: 283968 (history)  
Age: 22.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-05-07
Onset:2007-05-11
   Days after vaccination:4
Submitted: 2007-06-14
   Days after onset:34
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Enlarged uvula
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02920

Write-up: Information has been received from a physician concerning a 22 year old female who on 07-MAY-2007 was vaccinated IM with the first dose of Gardasil (Lot #657617/0384U). On 11-MAY-2007 the patient experienced a swollen uvula. The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested.


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