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This is VAERS ID 277744

Case Details

VAERS ID: 277744 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: California  
Vaccinated:2006-12-26
Onset:2007-01-15
   Days after vaccination:20
Submitted: 2007-05-01
   Days after onset:105
Entered: 2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 1 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Arthralgia, Fatigue, Influenza like illness
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:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: arthralgias of hands and wrists, flu-like symptoms, fatigue, knee and ankle pain starting 2-3 weeks after gardisil vaccine


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