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This is VAERS ID 274746

Case Details

VAERS ID: 274746 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Unknown  
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. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Pain, Pain in extremity, Vaccine positive rechallenge
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA01022

Write-up: This is in follow-up to report (s) previously submitted on 3/14/2007. Information has been received from a family nurse practitioner (FNP) concerning numerous patients who on an unspecified dates were vaccinated with HPV (lot # not reported). Subsequently, the patients experienced stinging and sore arm after the vaccination. The outcome of the stinging and sore arm was not reported. No other information was available at the time of reporting. Additional information has been requested. Information has been received from a certified family nurse practitioner (CPNP) concerning a 25 year old female clinic employee who in August 2006 was vaccinated with the first dose of GARDASIL (lot # not reported). In October 2006, the patient was vaccinated with second dose of GARDASIL (lot # not reported). In February 2007, the patient was vaccinated with third dose of GARDASIL (lot # not reported). In October 2006, the patient experienced stinging and sore arm after the second vaccination. The patient recovered after three days. In February 2007, the patient again experienced stinging and sore arm after the third vaccination. The patient recovered after three days. Additional information was received from the CPNP via telephone. The sore lasted about 3 days. There was no reaction with the first dose which came from a pre-loaded syringe. The second and third doses of vaccine were from a vial. No additional information has been requested.


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