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This is VAERS ID 275639

Case Details

VAERS ID: 275639 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-03-15
Onset:2007-03-23
   Days after vaccination:8
Submitted: 2007-04-03
   Days after onset:11
Entered: 2007-04-05
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 2 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Bone pain, Myalgia, Tendonitis
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Tendinopathies and ligament disorders (narrow)

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:
Current Illness: None
Preexisting Conditions: Amox, itching; hx eczema, hay fever
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: myalgias, bone pain, tendonitis


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