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This is VAERS ID 275618

Case Details

VAERS ID: 275618 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-04-04
Onset:2007-04-04
   Days after vaccination:0
Submitted: 2007-04-04
   Days after onset:0
Entered: 2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 02400 / 2 LA / -

Administered by: Private       Purchased by: Unknown
Symptoms: Injection site pain, Neck pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)

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

Write-up: Pain from injection site extending into neck. Paresthesia in hand.


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