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This is VAERS ID 267450

Case Details

VAERS ID: 267450 (history)  
Age: 27.0  
Gender: Female  
Location: California  
Vaccinated:2006-10-03
Onset:2006-10-12
   Days after vaccination:9
Submitted: 2006-11-14
   Days after onset:33
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0696F / - UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES0610USA12097

Write-up: Information has been received from a physician concerning a 27 year old female who on 10/3/06 was vaccinated with the first dose of HPV Vaccine (lot nor provided). On 10/12/06 the pt experienced a very sore arm. The physician advised the pt to take Advil and apply ice to the area. At the time of the report it was unk if the pt had recovered. Additional information has been requested. Follow up information received stated that as appriximately 03-NOV-2006 the patient recovered from the event.


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