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This is VAERS ID 284536

Case Details

VAERS ID: 284536 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-19
Onset:2007-05-31
   Days after vaccination:42
Submitted: 2007-06-14
   Days after onset:14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling
SMQs:, 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:
CDC Split Type: WAES0705USA05727

Write-up: Information has been received from a physician concerning a female who on 19-APR-2007 was vaccinated with Gardasil. On approximately 31-MAY-2007 the patient developed injection site redness and injection site swelling. The patient has not recovered. Additional information has been requested.


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