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This is VAERS ID 267444

Case Details

VAERS ID: 267444 (history)  
Form: Version 1.0  
Age: 30.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2006-11-14
   Days after onset:64
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Pain

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: LO/OVRAL
Current Illness:
Preexisting Conditions: CONCURRENT CONDITIONS: Anxiety
Diagnostic Lab Data: NONE
CDC Split Type: WAES0610USA11829

Write-up: Information has been received from an LPN concerning a 30 year old female patient with anxiety who on 11-Sep-2006 was vaccinated IM with a dose of HPV rL1 6 11 16 18 VLP vaccine (yeast), lot#654540/0800F. Concomitant therapy included ethinyl estradiol/norgestrel (LO/OVRAL). After receiving the vaccination on 11-Sep-2006, the patient complained of a lot of pain under the arm pit and also on the left arm (injection arm). The arm hurt on and off, especially during workouts and while sleeping. the pain wakes up the patient in the middle of the night. She sought medical attention and was told to take Ibuprofen, apply ice to the area, and no upper body exercises. The nurse stated the patient was still having moderate pain 4 weeks after the injection, and that she probably would not receive further doses. At the time of the report, the patient had not recovered. There was no product quality complaint involved. Additional information has been requested.

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