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This is VAERS ID 279048

Case Details

VAERS ID: 279048 (history)  
Age: 12.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-01-24
Onset:2007-01-24
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:109
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00527

Write-up: Information has been received from a health professional concerning a 12 year old white female patient who on 24-JAN-2007 was vaccinated IM with a first dose 0.5 mL of Gardasil lot #655619/1427F. Concomitant therapy included hepatitis A virus vaccine (unspecified) also administered IM on 24-JAN-2007. In approximately 27-JAN-2007, the patient developed joint pain and stiffness after receiving the vaccination. Subsequently, the patient recovered from joint pain and stiffness after few weeks. Additional information has been requested.


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