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This is VAERS ID 273969

Case Details

VAERS ID: 273969 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Connecticut  
   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 / 1 - / 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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? 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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