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This is VAERS ID 270322

Case Details

VAERS ID: 270322 (history)  
Age: 21.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2006-12-21
Onset:2007-01-05
   Days after vaccination:15
Submitted: 2007-01-10
   Days after onset:5
Entered: 2007-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - LA / -

Administered by: Private       Purchased by: Private
Symptoms: Injection site pain, Joint range of motion decreased
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho tricyclen LO
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: Pt seen by doctor on 1/6/07 no swelling or redness good ROM REC NSAIDS and warm compresses. RTO 1-2 weeks
CDC Split Type:

Write-up: 01/05/07 pt called c/p left arm still sore after 2 weeks after receiving vaccine unable to raise arm over head denies redness or swelling.


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