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This is VAERS ID 273969

Case Details

VAERS ID: 273969 (history)  
Age: 11.0  
Gender: Female  
Location: Connecticut  
Vaccinated:2007-02-09
Onset:2007-02-09
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:32
Entered: 2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 0 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Antinuclear antibody, Full blood count, Headache, Pain, Pain in extremity, Viral test
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, ESR, Lyme, WB, ANA, DS DNA pending
CDC Split Type:

Write-up: C/O pain in extremities and headaches since administration of Gardasil (HPV Vaccine), constant pain, rated 6-7/10 on pain scale. Does not interfere with daily activity.


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