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This is VAERS ID 277776

Case Details

VAERS ID: 277776 (history)  
Age: 17.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-04-24
Onset:2007-04-29
   Days after vaccination:5
Submitted: 2007-05-02
   Days after onset:3
Entered: 2007-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. UNKNOWN / 0 RA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: Negative chest Xray and normal EKG.
CDC Split Type:

Write-up: Chest pain for 4 days which started 5 days after gardasil administration. Also has injection site pain.


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