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This is VAERS ID 278591

Case Details

VAERS ID: 278591 (history)  
Age: 26.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-03-20
Onset:2007-04-09
   Days after vaccination:20
Submitted: 2007-05-11
   Days after onset:32
Entered: 2007-05-15
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Blood creatine phosphokinase normal, Full blood count, Injected limb mobility decreased, Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy: PCN, Compazine
Diagnostic Lab Data: CK, CBC, all normal results
CDC Split Type:

Write-up: Injection given IN (R) Deltoid on 3/20/07. 4/9/07 Pt. phoned with c/o sore arm. Unable to Raise it above her head. Sent to ER for eval


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