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This is VAERS ID 274727

Case Details

VAERS ID: 274727 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: New Jersey  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:139
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653735/0688F / 2 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Neck pain, Pain in extremity
SMQs:, Arthritis (broad), 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: Asthma
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA00002

Write-up: Information has been received from a registered nurse concerning a 14 year old female with asthma who on 26-OCT-2006 was vaccinated with the first 0.5 ml dose of GARDASIL vaccine (yeast), (Lot # 653735/0688P). On 12-28-06, the patient was vaccinated with the second 0.5 ml dose of GARDASIL vaccine (yeast) (Lot # 654389/0916F). The nurse reported that the patient had adverse experiences after vaccination. The patient experienced neck pain. Also, the patient''s arm "had hurt all the way down, off and on". At the time of the report the patient''s symptoms began after the first and second dose of GARDASIL vaccine (yeast). At the time of the report, the symptoms had not resolved. The nurse also mentioned that the patient participated in gymnastics. Additional information has been requested. This is in follow-up to report(s) previously submitted on 3/14/2007. Since her initial injection, on 26-OCT-2006 (AE onste date also reported on 17-FEB-2007).

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