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This is VAERS ID 274574

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 274574 (history)  
Form: Version .0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2006-12-21
Onset:2006-12-21
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:82
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / 0 - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Drug administered at inappropriate site, Pain in extremity
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Prozac
Current Illness:
Preexisting Conditions: Papanicolaou smear abnormal
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type:

Write-up: Information has been received from a Registered Nurse (R.N.) concerning a 19 year old female with a history of abnormal papanicolaou smear who on 21-DEC-2006 was vaccinated IM in left deltoid with her first dose of HPV, lot # 653736/0689F. Concomitant the"rapy included Yasmin and Prozac. She experienced severe pain in the arm with the first dose. This reaction was reported at the time of her second vaccination. On 21-FEB-2006 her second dose of HPV, lot # 655617/1447 was administered via gluteus. No sympto


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