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This is VAERS ID 271819

Case Details

VAERS ID: 271819 (history)  
Age: 17.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-01-29
Onset:2007-01-31
   Days after vaccination:2
Submitted: 2007-02-01
   Days after onset:1
Entered: 2007-02-06
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2158AA / 0 UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2 days after giving Menactra and HPV vaccine #1, pt developed L shoulder and L arm pain, with ok strength but pain with motion.


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