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This is VAERS ID 276906

Case Details

VAERS ID: 276906 (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. - / 1 UN / IJ

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia
SMQs:, Arthritis (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA05018

Write-up: Information has been received from a physician concerning a female who was vaccinated with her first dose with Gardasil. Subsequently the patient experienced joint pain and ache. Additional information has been requested. This is in follow-up to report (s) preveiously submittedon 4/13/2007. Initial and follow-up information has been received from a physician concerning a female who was vaccinated with her first dose of GARDASIL vaccine. Subsequently the patient experienced joint pain and ache. It was undecided whether the patient would receive the second vaccination. No further information is available.


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