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This is VAERS ID 275365

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275365
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-03-30
Entered:2007-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Pain in extremity, X-ray normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: joint X-ray 01/15/07 negat
CDC 'Split Type':

Write-up:Information has been received from a physician concerning an 18 year old female with AMOXIL allergy who on 15-JAN-2007 was vaccinated with the first dose of Gardasil (lot #655619/1427F), IM, 0.5 ml. Concomitant therapy included hormonal contraceptives (un"specified). On 15-JAN-2007, the patient experienced prolonged left arm pain and limitation of movement secondary to arm pain following the first dose of Gardasil. No redness or swelling was noted. A shoulder x-ray was negative. The patient was treated wit


Changed on 12/8/2009

VAERS ID: 275365 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-03-30
Entered:2007-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 - UN / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Hypokinesia, Pain in extremity, X-ray normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: joint X-ray 01/15/07 negat
CDC 'Split Type': (blank) WAES0703USA03948

Write-up:Information has been received from a physician concerning an 18 year old female with AMOXIL allergy who on 15-JAN-2007 was vaccinated with the first dose of Gardasil (lot #655619/1427F), IM, 0.5 ml. Concomitant therapy included hormonal contraceptives (un"specified). (unspecified). On 15-JAN-2007, the patient experienced prolonged left arm pain and limitation of movement secondary to arm pain following the first dose of Gardasil. No redness or swelling was noted. A shoulder x-ray was negative. The patient was treated wit with an unspecified NSAID''s (non-steroidal, anti-inflammatory drug) and was referred to a neurologist. At the time of the report, the patient''s prolonged left arm pain persisted and was considered to be disabling. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275365&WAYBACKHISTORY=ON


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