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This is VAERS ID 271137

Case Details

VAERS ID: 271137 (history)  
Age: 20.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-18
Onset:2006-12-18
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:29
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Pain, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA03188

Write-up: Information has been received from a registered nurse concerning her 20 year old daughter with no medical history or allergies, who on 18-DEC-2006 was vaccinated IM with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medication. On 18-DEC-2006, the patient experienced throbbing pain in her arm. Unspecified medical attention was sought. No diagnostic studies were performed. At the time of this report, the patient''s pain was subsiding. No product quality complaint was involved. Additional information has been requested.


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