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This is VAERS ID 274304

Case Details

VAERS ID: 274304 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-14
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 5 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03585

Write-up: Information has been received from a Registered Nurse (R.N.) concerning a female patient who on an unspecified date was vaccinated IM with Gardasil and experienced a "sore arm" after being vaccinated. Medical attention was sought. The patient was reported as recovered. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a Registered Nurse (R.N.) and a physician concerning a female patient who on an unspecified date was vaccinated IM with a second dose at day 27 of GARDASIL and experienced a "sore arm" after being vaccinated. Medical attention was sought. The patient was reported as recovered. No further information is available.


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