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This is VAERS ID 276885

Case Details

VAERS ID: 276885 (history)  
Form: Version 1.0  
Gender: Female  
Location: Kentucky  
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:24
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Arthritis (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04554

Write-up: Information has been received from a physician concerning a female who was under 18 years old who on 20-MAR-2007 was vaccinated IM with her second dose of Gardasil. On 20-MAR-2007, within 12 hours after vaccination the patient experienced joint achiness. On 22-MAR-2007, the patient sought medical attention and the Nurse practitioner reported that the patient experienced "petikia" on her face and a red bump on the white of her one eye. Nurse Practitioner reported that the patient had no reaction to her 1st dose of Gardasil, but they are not planning to vaccinate the patient with the 3rd dose at this time. No further information is available.

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