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This is VAERS ID 278338

Case Details

VAERS ID: 278338 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-05-02
Onset:2007-05-02
   Days after vaccination:0
Submitted: 2007-05-04
   Days after onset:2
Entered: 2007-05-10
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03870 / 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2227AA / 1 RA / UN

Administered by: Private       Purchased by: Public
Symptoms: Headache, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
CDC Split Type:

Write-up: severe headache and shoulder suprascapula pain started 4 hours after vaccine and lasted 2 days


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