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This is VAERS ID 273505

Case Details

VAERS ID: 273505 (history)  
Age: 12.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-02-23
Onset:2007-02-23
   Days after vaccination:0
Submitted: 2007-03-06
   Days after onset:11
Entered: 2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 1 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Pain
SMQs:

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

Write-up: Aftershot, patient developed pain on the side of the body (left) that shot was administered, over left arm, left trunk, and left leg. There was no local redness, swelling, or pain at site of vaccine itself. The patient was treated with Motrin and ice and resolved after 24 hours.


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