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This is VAERS ID 276633

Case Details

VAERS ID: 276633 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Delaware  
Vaccinated:2007-02-10
Onset:0000-00-00
Submitted: 2007-04-16
Entered: 2007-04-17
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Pain in extremity
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: C/O pain in her L arm where she got the Gardasil injection (02/10/07). Pain starts when she rotates arm inward or lift it shoulder level or above.


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