This is VAERS ID 267996

Case Details

VAERS ID:	267996 (history)
Form:	Version 1.0
Age:	14.0
Gender:	Unknown
Location:	Missouri

Vaccinated:	2006-11-20
Onset:	0000-00-00
Submitted:	0000-00-00
Entered:	2006-11-30

Vaccination / Manufacturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0688F / UNK	LA / -

Administered by: Private Purchased by: Unknown
Symptoms: Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: 2nd dose Patient complain of pain.

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