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This is VAERS ID 279039

Case Details

VAERS ID: 279039 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Nebraska  
   Days after vaccination:3
Submitted: 2007-05-14
   Days after onset:58
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Pain, Pain in extremity, Sleep disorder
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA00334

Write-up: Information has been received from a physician, via a company representative, concerning a 22 year old female patient, who on 14-MAR-2007 was vaccinated with the first dose, 0.5ml, IM, of Gardasil. On 17-MAR-2007 the patient experienced "pain in lower right leg (down from the knee), aching" and reported a problem with sleeping. At the time of this report, the leg pain, aching and problem with sleeping had not resolved. The patient sought unspecified medical attention. Additional information has been requested.

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