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This is VAERS ID 269923

Case Details

VAERS ID: 269923 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-10-01
Onset:2006-10-01
   Days after vaccination:0
Submitted: 2006-12-29
   Days after onset:89
Entered: 2007-01-02
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Arthritis, Joint swelling, Myalgia, Urinary tract infection, Viral infection
SMQs:, Rhabdomyolysis/myopathy (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Minocin.
Current Illness:
Preexisting Conditions: Papilloma viral infection, Acne.
Allergies:
Diagnostic Lab Data: 10/06 viral antibody titer positive for Parvo virus, Epstein Barr virus 10/06 Positive, Cytomegalovirus 10/06 positive.
CDC Split Type: WAES0612USA03674

Write-up: Information has been received from a physician concerning her 18 year old daughter with a history of HPV and acne who at the beginning of October 2006, was vaccinated with a dose of HPV vaccine. Concomitant therapy included Yasmin and Minocin. One week later, the patient developed a urinary tract infection. Two weeks after vaccination, she had an acute onset of arthritis. She had significant swelling of her finger joints and generalized myalgia. She had blood work to include viral antibody titers which were positive for parvo virus, Epstein Barr and Cytomegalovirus. The patient was treated with steroids and anti inflammatory drugs. At the time of the report she had not recovered. The reporter considered the events to be disabling and other important medical events (OMIC). Additional information has been requested.


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