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This is VAERS ID 274304

(NOTE: This result is from the 6/14/2014 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. - / 4 - / IM

Administered by: Other       Purchased by: Other
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:
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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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20140614&IDNUMBER=274304


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