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This is VAERS ID 278009

Case Details

VAERS ID: 278009 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: New Hampshire  
Vaccinated:2007-02-26
Onset:2007-03-15
   Days after vaccination:17
Submitted: 2007-05-02
   Days after onset:48
Entered: 2007-05-07
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Pain in extremity, Rheumatoid arthritis, Rheumatoid factor
SMQs:, Arthritis (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: + Rheumatoid factor
CDC Split Type:

Write-up: Two weeks after receiving Gardasil vaccine pt developed leg/arm pain. Blood test showed + R.A. After course of steroids, blood test normalized. Rheumatologist suggested to pt to not get second Gardasil vaccine.


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