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This is VAERS ID 276122

Case Details

VAERS ID: 276122 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-06
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other       Purchased by: Other
Symptoms: Alopecia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00390

Write-up: Information has been received from a pediatrician concerning a female who was vaccinated with a 0.5 ml dose of Gardasil. Subsequently the patient experienced muscle aches and hair loss. On 02-MAR-2007, the patient was going to the pediatrician''s office for evaluation. the pediatrician reported that the vaccine was administered by the patient''s OB/GYN. No further information is available.


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