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This is VAERS ID 271157

Case Details

VAERS ID: 271157 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Pennsylvania  
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:48
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: therapy unspecified
Current Illness: Hypersensitivity, migraine
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0701USA00048

Write-up: Information has been received from the mother of an 11 year old female with an allergy to Rondec and migraines who on 25 Oct 2006 was vaccinated intramuscularly with the first dose of Gardasil. Concomitant therapy included an unspecified migraine therapy. The mother reported that her daughter received the second dose of Gardasil approximately 35 days after receiving the first dose. The mother was informed by her physician that it was "okay" and that the patient did not have to restart the series. The mother also reported that following the second vaccination, on 30 Nov 2006, her daughter experienced pain in the arm in which she was vaccinated. Unspecified medical attention was sought. The patient subsequently recovered from the pain on an unspecified date. Additional information has been requested. Conflicting information received from the patient''s physician reported that there was no adverse reaction experienced. No addtional information is expected.

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