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This is VAERS ID 284519

Case Details

VAERS ID: 284519 (history)  
Age: 16.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Crying, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Depression (excl suicide and self injury) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05551

Write-up: Information has been received from a Licensed Visiting Nurse (LVN) concerning a 16 year old female patient who was vaccinated IM with her first dose of Gardasil. Almost immediately, the patient burst into tears. She commented on how much the vaccination hurt. She repeatedly said she was not dizzy although it took her a long time to get out of the chair. Medical attention was sought. Subsequently, the patient recovered. Additional information has been requested.


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