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This is VAERS ID 279430

Case Details

VAERS ID: 279430 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-04-10
Onset:2007-05-14
   Days after vaccination:34
Submitted: 2007-05-22
   Days after onset:8
Entered: 2007-05-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 LA / IM
TTOX: TETANUS TOXOID (TEVAX) / GLAXOSMITHKLINE BIOLOGICALS AC52B014BA / UNK LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Arthritis, C-reactive protein, Full blood count, Oedema peripheral, Pain in extremity, Red blood cell sedimentation rate, X-ray limb
SMQs:, Cardiac failure (broad), Angioedema (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: C-reactive protein, X-ray foot, CBC with diff, Sedimentation rate
CDC Split Type:

Write-up: Painful, swollen left heel without trauma arthritis left foot.


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