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This is VAERS ID 284136

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 284136
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-05-03
Onset:2007-05-03
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Nausea, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03179

Write-up:Information has been received from a nurse practitioner concerning a female who on 03-MAY-2007 was vaccinated with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On approximately 03-MAY-2007, the injection site became red and swollen and the patient experienced nausea. The patient sought unspecified medical attention. At the time of this report, the patient was not recovered. Additional information has been requested.


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