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This is VAERS ID 284329

Case Details

VAERS ID: 284329 (history)  
Age: 15.0  
Gender: Female  
Location: Ohio  
Vaccinated:2007-04-02
Onset:2007-04-02
   Days after vaccination:0
Submitted: 2007-06-30
   Days after onset:89
Entered: 2007-07-11
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 024466 / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site bruising, Injection site swelling, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nausea (within an hour) for 3 hours. Fever (within an hour) for 12 hours. Bruising at injection site - 4/3/07 - lasting two weeks - softball size. Swelling at injection site - 4/2/07 lasting two weeks at injection site - 4/2/07 - lasting two weeks - softball size - non-responsive to Ibuprofen.


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