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This is VAERS ID 284475

Case Details

VAERS ID: 284475 (history)  
Age: 25.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-05-16
Onset:2007-05-16
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:29
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / - UN / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: Seasonal allergy
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA04401

Write-up: Information has been received from a health professional concerning a 25 year old female with a history of seasonal allergy who on 16-MAY-2007 was vaccinated IM with Gardasil (Lot #656051/0244U). Concomitant therapy included drospirenone (+) ethinyl estradiol (YAZ). On 16-MAY-2007 the patient developed a lump at the injection site. As of 23-MAY-2007, the patient had not recovered. Additional information has been requested.


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