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This is VAERS ID 277816

Case Details

VAERS ID: 277816 (history)  
Age: 35.0  
Gender: Female  
Location: Georgia  
Vaccinated:2007-04-04
Onset:2007-04-04
   Days after vaccination:0
Submitted: 2007-05-02
   Days after onset:28
Entered: 2007-05-03
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Injected limb mobility decreased, Insomnia, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN, ALLEGRA-D
Current Illness:
Preexisting Conditions: Papilloma viral infection
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA06106

Write-up: Information has been received from a registered nurse concerning a 35 year old female with a history of papilloma viral infection who on unspecified dated, was vaccinated with the first and second dose of Gardasil. 04-APR-2007, the patient was vaccinated with a third dose of Gardasil (lot # 654702/0011U) 0.5 ml IM into the left deltoid. Concomitant therapy included ORTHO TRI-CYCLEN, and ALLEGRA-D. On 05-APR-2007, the patient sought medical attention by contacting the physician''s office. The patient reported that on 04-APR-2007, immediately after being vaccinated with the third dose of vaccine, she noticed symptoms. She had severe shoulder pain. The patient could not lift her arm laterally and could not sleep due to the pain. The patient was ordered MEDROL DOSE PACK, heat, and LORCET PLUS. The patient had also been seen at an orthopedics office. She was given 2 steroid injections and she is being set up for physical therapy. The patient did not have any symptoms with the first two doses of vaccine. At the time of reporting, the patient had not recovered. No further information was available at the time of reporting. The reporter felt that the events were disabling. Additional information has been requested.


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