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This is VAERS ID 284534

Case Details

VAERS ID: 284534 (history)  
Form: Version 1.0  
Age: 32.0  
Gender: Female  
Location: New York  
Submitted: 2007-06-14
   Days after onset:210
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Injected limb mobility decreased, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Medication errors (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
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05721

Write-up: Information has been received from a physician concerning a 32 year old female who on 15-NOV-2006 was vaccinated with the first dose Gardasil 0.5 ml IM. On an unspecified date the patient received the second dose Gardasil. On 16-MAY-2007 the patient received the third dose of Gardasil 0.5 ml IM. On 17-MAY-2007 the patient experienced pain, swelling and tenderness at the injection site of the right deltoid muscle. The physician also mentioned that the patient had trouble lifting her arm due to pain. The physician prescribed ibuprofen (Motrin). The patient was examined by the physician on 05-21-2007 and the symptoms were resolving. Additional information has been requested.

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