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This is VAERS ID 284475

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 284475
Age:25.0
Gender:Female
Location:Florida
Vaccinated:2007-05-16
Onset:2007-05-16
Submitted:2007-06-14
Entered:2007-06-18
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

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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