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This is VAERS ID 276069

Case Details

VAERS ID: 276069 (history)  
Form: Version 1.0  
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 / 2 LA / IM

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