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This is VAERS ID 279500

Case Details

VAERS ID: 279500 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-13
Onset:2007-02-13
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:89
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Neck pain, Pain
SMQs:, Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA04241

Write-up: Information has been received from a physician concerning a 16 year old female who on 13-FEB-2007 was vaccinated with the first dose of Menactra. The physician reported that the patient experienced aching in her body and neck after receiving the first dose. The patient subsequently recovered. The patient had since received the second dose of Gardasil and did not experience the symptoms again. Additional information has been requested.


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