National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 272483

Case Details

VAERS ID: 272483 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Hawaii  
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:27
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia
SMQs:, Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA03099

Write-up: Information has been received from a physician concerning a 17 year old female with no pertinent medical history and no drug reactions/allergies who on approximately 18-JAN-2007 was vaccinated with GARDASIL (lot # not reported) injection, 0.5 ml, in her left upper arm. There was no concomitant medication. On 18-JAN-2007, the patient developed pain and soreness in both sides of her hips. The patient sought medical attention. No lab diagnostic tests were performed. The patient stated that as of 18-JAN-2007, she only feels pain when she touches the side of her hips. At the time of reporting the outcome was unspecified. No other information was provided by the physician. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/14/2007. Additional information was received from the physician via telephone call. The physician reported that the patient had not returned for follow-up visit, therefore it was unknown if the patient recovered. Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166