National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 277664

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277664
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:2006-10-30
Onset:2006-10-31
Submitted:2007-04-30
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthralgia, C-reactive protein increased

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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':

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). Conco"mitant 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 pati


Changed on 12/8/2009

VAERS ID: 277664 Before After
Age:23.0 22.0
Gender:Female
Location:Ohio
Vaccinated:2006-10-30
Onset:2006-10-31
Submitted:2007-04-30
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / 1 - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Antinuclear antibody, Arthralgia, C-reactive protein increased, Joint swelling, Rheumatoid factor negative, Red blood cell sedimentation rate increased

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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': (blank) 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). Conco"mitant 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 "two months after the first dose/", dose", the pati 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.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277664&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166