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This is VAERS ID 284896

Case Details

VAERS ID: 284896 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: Ohio  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-07-06
Entered: 2007-07-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
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: WAES0705USA00580

Write-up: Information has been received from a physician concerning a patient who was vaccinated with a dose of Gardasil (lot number unknown). The physician reported that the patient experienced pain at the injection site after receiving the Gardasil routinely; however she had not had any issues with patients coming back for the second and third injections. The outcome was unknown. Additional information was received from the office manager via phone call who reported that the pain did not linger. Additional information has been requested.


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