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This is VAERS ID 279198

Case Details

VAERS ID: 279198 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-14
Onset:2007-03-14
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:61
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Immediate post-injection reaction, Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MIRCETTE ONE A DAY ESSENTIAL VITAMINS
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0704USA02249

Write-up: Information has been received from a health professional concerning a female who on 14-MAR-2007 was vaccinated with the first dose of Gardasil, IM in the right deltoid (lot# 655503/0012U). Concomitant therapy included Mircette and vitamins (unspecified) (One-A-Day Essential Vitamins). Subsequently, immediately following the vaccination the patient experienced pain in the injection site arm. The patient recovered from the pain in "a day or two" but it returned on approximately 18-MAR-2007. This pain was described as a shooting pain in the injection site arm "down to the elbow" that occurred when the arm was moved. There was no pain on touch. It was reported that the pain was worst at the end of the day and immediately upon arising. The patient was treated with Advil which was reported to have helped the pain. The patient was examined at her physician''s office on 26-MAR-2007 and was prescribed Tylenol with codeine. Subsequently, the patient called into the office on 09-APR-2007 and reported that the pain in the arm was still present and had worsened. The patient was referred to her primary care physician for further evaluation. Additional information has been requested.


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