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This is VAERS ID 266774

Case Details

VAERS ID: 266774 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Louisiana  
   Days after vaccination:7
Submitted: 2006-11-14
   Days after onset:26
Entered: 2006-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 08668F / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site pain, Shoulder pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

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, Zoloft, Bactrim DS
Current Illness: None
Preexisting Conditions: Depression
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient developed left shoulder pain at the deltoid corresponding to the site of injection. This began about 1 week after injection and has lasted for 3 weeks. It is 7/10 in severity and requires anti-inflammatories.

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