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This is VAERS ID 263227

Case Details

VAERS ID: 263227 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2006-08-07
Onset:2006-08-07
   Days after vaccination:0
Submitted: 2006-09-14
   Days after onset:38
Entered: 2006-09-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0608USA06260

Write-up: Information has been received from a 20 year old female patient who on 07-AUG-2006 was vaccinated intramuscularly with her first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702F). Concomitant therapy included drospirenone (+) ethinyl estradiol (YAZ). The patient stated that "right after getting the shot" she experienced pain in the upper arm on and off throughout the day. She also stated that the pain"feels like she has a knife in her arm". Unspecified medical attention was sought. The patient was treated with Ibuprofen. As of the report date, she was recovering. Additional information has been requested.


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