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This is VAERS ID 284469

Case Details

VAERS ID: 284469 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-01
Onset:2006-12-01
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:194
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA04348

Write-up: This is in follow-up report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 19 year old female who in December 2006, was vaccinated with her second dose of Gardasil (lot number unknown). Subsequently the patient experienced pain at the injection site for 1 week after her vaccination. There was no treatment required. Subsequently, the patient recovered. Additional information has been requested. No further information was available.


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