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This is VAERS ID 284150

Case Details

VAERS ID: 284150 (history)  
Age: 24.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-03-02
Onset:2007-05-09
   Days after vaccination:68
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. 0187U / 1 UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA03613

Write-up: Information has been received from a female who in March 2007, was vaccinated with Gardasil. She had no adverse experience at that time. On 07-MAY-2007 the patient had her second dose of Gardasil. On approximately 09-MAY-2007 the patient experienced a "hard swelling" at the injection site. The patient reported that she sought unspecified medical attention. The patient''s hard swelling at the injection site persisted. No further details were provided. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/174/2007. Information has been received from a registered nurse and a 24 year olf female (weight 130P, height 60") who on 02-MAR-2007 at 08:45 am was vaccinated with the second dose of GARDASIL vaccine (Lot #656049/0187U), IM. She had no adverse experience at that time. On 07-MAY-2007 at 9 am, the patient had her third dose of GARDASIL vaccine (Lot #657736/0389U), IM. concomitant medications was not reported. On approximately 09-MAY-2007, the patient experienced a "hard swelling" at the injection site. The patient reported that she sought unspecified medical attention and treatment with warm soaks was recommended. On an unspecified date, the patient recovered from the hard swelling at the injection site. No further details were provided. Additional information is not expected.


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