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This is VAERS ID 284469

Case Details

VAERS ID: 284469 (history)  
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. - / 1 UN / UN

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
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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