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This is VAERS ID 267448

Case Details

VAERS ID: 267448 (history)  
Form: Version 1.0  
Age: 28.0  
Gender: Female  
Location: Florida  
Vaccinated:2006-08-22
Onset:2006-08-22
   Days after vaccination:0
Submitted: 2006-11-14
   Days after onset:84
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia
SMQs:, Arthritis (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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0610USA12079

Write-up: Information has been received from a 38 year old female pt who on 8/22/06 was vaccainted IM with a dose of HPV vaccine. The reporter stated that on 8/22/06 I had pain for two months after the injection. Medical attention was sought. The pt was recovering. A product quality complaint was not involved. Additional information has been requested. Follow up information has been received from a physician concerning the 24 year old patient (previously reported as 38). The patient was complaining of pain, right hip: was seen by the nurse and the doctor; however there was no clinical indication of any problem. The patient was recovered.


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