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This is VAERS ID 284513

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 284513 (history)  
Form: Version .0  
Age: 17.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-05-25
Onset:2007-05-25
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:20
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Oedema peripheral, Pain, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05439

Write-up: Information has been received from a health professional concerning her 17 year old daughter who on 25-MAY-2007 was vaccinated IM in deltoid with a second dose of Gardasil. On 25-MAY-2007 the patient experienced pain next to the injection site after vaccination and her arm started to swell. Two days later bumps appeared on the same arm. She was given over the counter ibuprofen (Motrin) for pain. The reporter reported that patient experienced mild pain at the injection site after getting her first dose of Gardasil. The patient has not recovered. Additional information has been requested.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=284513


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