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This is VAERS ID 275007

Case Details

VAERS ID: 275007 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: New York  
Vaccinated:2007-03-23
Onset:2007-03-24
   Days after vaccination:1
Submitted: 2007-03-27
   Days after onset:3
Entered: 2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Back pain, Myalgia, Neck pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PREVICID 30 MG DAILY
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: APPROX. 24 HOURS AFTER VACCINE BEGAN WITH MUSCULAR NECK,BACK,LEG AND ARM PAIN.


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