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This is VAERS ID 274743

Case Details

VAERS ID: 274743 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:89
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Injected limb mobility decreased, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0703USA00931

Write-up: Information has been received from a physician concerning an 18 year old female student (weight 131#, height 66.5") who on 14-DEC-2006 at 2 pm was vaccinated with the first dose of Gardasil (lot #654540/1162F), IM in the right arm. Concomitant therapy included Menactra (lot #41974ab), IM in the left arm. On approximately 14-DEC-2006, the patient developed fever T $g 100 within 24 hours of vaccination, her arm was very sore and she "could not use for 48 hours". Subsequently on 16-DEC-2006, the patient recovered from fever T $g 100, arm was very sore and could not use arm for 48 hours. Additional information has been requested.

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