National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 408006

Case Details

VAERS ID: 408006 (history)  
Age: 12.0  
Gender: Female  
Location: Foreign  
Vaccinated:2010-10-07
Onset:2010-10-07
   Days after vaccination:0
Submitted: 2010-11-11
   Days after onset:35
Entered: 2010-11-12
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Analgesic therapy, Oedema peripheral, Pain, Pain in extremity, Tenderness
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1011USA00283

Write-up: This case was received from a Health Authority (ADR no. 20723424). A 12 year old patient with a medical history of mild asthma treated with salbutamol (as necessary) received an IM injection of GARDASIL (manufacturer and batch number not reported) on 07-OCT-2010. On the same day as vaccination, the patient developed a painful swollen arm. At the time of reporting the arm was still tender to touch, on passive and active movement. The patient required analgesia and physiotherapy four days post vaccination. The patient outcome was not recovered. This case was medically confirmed. The reported considered the events to be serious for disability/incapacity and being medically significant. The MHA coded the event of painful arm and swollen arm. Other business partner numbers included: E2010-06538. No further information is available.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=408006


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166