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This is VAERS ID 276870

Case Details

VAERS ID: 276870 (history)  
Age: 17.0  
Gender: Female  
Location: New Mexico  
Vaccinated:2007-02-26
Onset:2007-02-27
   Days after vaccination:1
Submitted: 2007-04-13
   Days after onset:44
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Seasonal allergy; Glucose intolerance, Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04230

Write-up: Information has been received from a certified medical assistant concerning a 17 year old female with seasonal allergies, glucose intolerance and penicillin allergy who on 06-DEC-2006 was vaccinated IM 0.5 mL, first dose , with Gardasil (lot#653978/0955F). The patient received her second vaccination IM 0.5mL of Gardasil (lot#653978/0955F) on 26-FEB-2007. There was no concomitant medication. On 27-FEB-2007 the patient experienced fatigue and widespread joint pain. No adverse event was reported on the first vaccination. The patient sought unspecified medical attention. Additional information has been requested.


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