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This is VAERS ID 275151

Case Details

VAERS ID: 275151 (history)  
Age: 15.0  
Gender: Female  
Location: Maryland  
Vaccinated:2007-03-06
Onset:2007-03-09
   Days after vaccination:3
Submitted: 2007-03-19
   Days after onset:9
Entered: 2007-03-29
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Blood test, Condition aggravated, Juvenile arthritis, Varicella
SMQs:, Arthritis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CLARITIN D
Current Illness:
Preexisting Conditions: Amoxicillin
Diagnostic Lab Data: Bloodwork done by rheumatologist
CDC Split Type:

Write-up: Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and results from visit.


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