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This is VAERS ID 276840

Case Details

VAERS ID: 276840 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Pain
SMQs:

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0703USA03939

Write-up: Information has been received from the mother of a female who was vaccinated with the second dose of Gardasil. Subsequently the patient experienced pain. The mother reported that her daughter will receive the third vaccination "late". Additional information has been requested. It was also reported that another daughter was vaccinated with Gardasil and experienced pain (WAES 0703USA02877).


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