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This is VAERS ID 269252

Case Details

VAERS ID: 269252 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Florida  
Vaccinated:2006-11-22
Onset:2006-11-23
   Days after vaccination:1
Submitted: 2006-12-14
   Days after onset:21
Entered: 2006-12-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: WAES0612USA00352

Write-up: Information has been received from a physician concerning an approximately 19 year old female who on 22 Nov 2006 was vaccinated with a 0.5 ml dose of Gardasil vaccine (yeast). On 23 Nov 2006, the patient experienced a sore arm for 2 days. It was noted that it started to get better however on 27 Nov 2006 the pain at the injection site returned with radiating pain to the shoulder and shoulder blade. There was no redness or swelling at the site. The patient stated that "it felt like a heavy weight is on my arm." Unspecified medical attention was sought. The patient''s pain at the injection site with radiating pain to the shoulder and shoulder blade persisted. No product quality complaint was involved. Additional information has been requested.


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