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This is VAERS ID 267957

Case Details

VAERS ID: 267957 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: New York  
   Days after vaccination:14
Submitted: 2006-11-19
   Days after onset:48
Entered: 2006-11-29
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Hypoaesthesia, Injection site pain, Pain
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Mild Pulmonary Valve stenosis, stable.
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Left arm pain, numbness from elbow to entire hand, started about 2 week safer receiving Gardasil in that arm. Pain is intermittent and 5-10 in intensity. She dose have other symptoms of abdominal pain, and right arm pain, so it is unclear whether vaccine is a factor.

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