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This is VAERS ID 272191

Case Details

VAERS ID: 272191 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-21
Onset:2006-12-21
   Days after vaccination:0
Submitted: 2007-02-12
   Days after onset:53
Entered: 2007-02-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Hypokinesia, Pain in extremity
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), 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: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA00017

Write-up: Information has been received from a physician concerning a 20 year old female with a penicillin allergy and no other reported health history who on 21-DEC-2006 was vaccinated with a first dose of Gardasil (lot # 654389/0961F) (0.5 ml), intramuscularly. Concomitant therapy included birth control pills. Subsequently, she had experienced severe pain in the arm since the vaccination. She was unable to raise her arm more than a 45 degree angle. She had been seen by her family physician who diagnosed her with "Frozen Arm Syndrome". it was reported that she would be seen by an orthopedic surgeon in a few days. It was noted that the patient is "thin build, weighed 119 pounds and was five feet six inches tall. It was noted that there was no previous injury to area or to arm. Unspecified medical attention was sought. At the time of the report, the patient was considered to be not recovered. The patient''s experiences were considered to be disabling. Additional information has been requested.


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