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This is VAERS ID 284899

Case Details

VAERS ID: 284899 (history)  
Age: 15.0  
Gender: Female  
Location: Maryland  
Vaccinated:2007-04-25
Onset:2007-04-25
   Days after vaccination:0
Submitted: 2007-07-06
   Days after onset:72
Entered: 2007-07-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 UN / IM

Administered by: Private       Purchased by: Other
Symptoms: Injection site discomfort, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA00207

Write-up: Information has been received from a registered nurse concerning a 15 year old white female who on 25-APR-2007 was vaccinated IM into the right deltoid with a 0.5 ml first dose of Gardasil (lot# 657621/0387U). On 25-APR-2007 the patient experienced pain at the injection site for three to four weeks after her injection. The patient obtained relief with MOTRIN. The patient has occasional discomfort at the injection site with movement currently. At the time of this report, the patient was recovering. No product quality complaint was involved. Additional information has been requested.


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