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This is VAERS ID 276832

Case Details

VAERS ID: 276832 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: California  
Vaccinated:2007-01-12
Onset:2007-02-20
   Days after vaccination:39
Submitted: 2007-04-13
   Days after onset:51
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia
SMQs:, Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: (therapy unspecified), ADDERALL TABLETS, STRATTERA, bupropion hydrochloride, PROZAC, minocycline, SINGULAIR, ranitidine
Current Illness: Prophylactic vaccination
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA03860

Write-up: Information has been received from a Registered Nurse Practitioner (R.N.P.) concerning a 14 year old female student who on 12-JAN-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil, lot# 655619/1427F. Concomitant therapy included ADDERALL TABLETS, STRATTERA, PROZAC, montelukast sodium, bupropion, "exofendadine", ranitidine and minocycline. Of note, the patient was switching from CONCERTA to ADDERALL. On 20-FEB-2007 the patient developed arthralgias in hips, ankles, and hands. Patient saw pediatrician. It was reported that the events persisted as of 09-MAR-2007. On 16-MAR-2007 the patient''s mother reported, the events resolved. The outcome was unknown. Additional information has been requested.


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