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This is VAERS ID 277816

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

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

Administered by: Other      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Insomnia, Musculoskeletal pain, Injected limb mobility decreased

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':

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 repor


Changed on 12/8/2009

VAERS ID: 277816 Before After
Age:35.0
Gender:Female
Location:Georgia
Vaccinated:2007-04-04
Onset:2007-04-04
Submitted:2007-05-02
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Inappropriate schedule of drug administration, Insomnia, Musculoskeletal pain, Injected limb mobility decreased

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No 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': (blank) 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 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 physician''s office. The patient repor 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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