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This is VAERS ID 276069

Case Details

VAERS ID: 276069 (history)  
Age: 13.0  
Gender: Female  
Location: Missouri  
Submitted: 2007-04-11
Entered: 2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 14478 / 1 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Pain in extremity, Ultrasound scan
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: ultrasound
CDC Split Type:

Write-up: Left arm started hurting 3 days after HPV #2 administration. Continued with pain in arm 1 month after administration of shot

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