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This is VAERS ID 276155

Case Details

VAERS ID: 276155 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-01
Onset:2006-12-01
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:125
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / -

Administered by: Private       Purchased by: Other
Symptoms: Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0703USA00962

Write-up: Information has been received from a physician concerning a female who in December 2006 , was vaccinated with Gardasil 0.5 mL, injection. In December 2006, the patient experienced muscle aches all over, especially in the legs and arms. The patient''s muscle aches all over, especially in the legs and arms persisted for 3 months. The patient sought unspecified medical attention. Additional information has been requested.


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