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This is VAERS ID 277664

Case Details

VAERS ID: 277664 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Ohio  
   Days after vaccination:1
Submitted: 2007-04-30
   Days after onset:180
Entered: 2007-05-01
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Antinuclear antibody, Arthralgia, C-reactive protein increased, Joint swelling, Red blood cell sedimentation rate increased, Rheumatoid factor negative
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Doxycycline, Hormonal contraceptives
Current Illness: Acne
Preexisting Conditions:
Diagnostic Lab Data: erythrocyte - elevated, serum C-reactive - elevated, serum ANA - pending, serum rheumatoid factor - negative
CDC Split Type: WAES0704USA05875

Write-up: Information has been received from a physician concerning his daughter, a 23 year old female with no drug reactions or allergies with acne who on 31-AUG-2006 was vaccinated intramuscularly with the first 0.5 ml dose of Gardasil (Lot # 653736/0689F). Concomitant therapy included hormonal contraceptives (unspecified) and doxycycline. On 30-OCT-2006, the patient was vaccinated, intramuscularly with the second 0.5 ml dose of Gardasil. On approximately 31-OCT-2006, "two months after the first dose", the patient experienced arthralgia, with progressive pain in her knees, and wrists, and left wrist swelling. On 26-FEB-2007, the patient was vaccinated, intramuscularly with the third 0.5 ml dose of Gardasil. The patient sought unspecified medical attention. Laboratory evaluation revealed elevated sedimentation rate (sed rate), elevated C-reactive protein, negative rheumatoid factor, and antinuclear antibodies (ANA) pending. The physician reported that he believed the pain was causing the patient significant disability as she could not participate in former activities. The patient was treated with ADVIL. At the time of the report, the patient had not recovered. The physician considered the patient''s arthralgia with progressive pain in her knees and wrists and left wrist swelling to be disabling. Additional information has been requested.

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