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This is VAERS ID 274304

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 274304 (history)  
Form: Version .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. - / - - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Pain in extremity
SMQs:

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:

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 report"ed as recovered. Additional information has been requested.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=274304


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