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This is VAERS ID 284545

Case Details

VAERS ID: 284545 (history)  
Age: 22.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:33
Submitted: 2007-06-14
   Days after onset:59
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: (therapy unspecified)
Current Illness:
Preexisting Conditions: Adverse drug reaction
Diagnostic Lab Data: None
CDC Split Type: WAES0706USA0011

Write-up: Information has been received from a physician''s assistant concerning a 22 year old female with a history of an unspecified reaction to Lortab who on 14-MAR-2007 was vaccinated with her second dose of Gardasil (lot# 657617/0384U). Concomitant therapy included unspecified birth control. The patient experienced pain at the injection site. As of 31-MAY-2007 she was recovering. Additional information has been requested.

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