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This is VAERS ID 279543

Case Details

VAERS ID: 279543 (history)  
Age: 23.0  
Gender: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0091U / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Axillary pain, Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA05194

Write-up: Information has been received from a physician concerning a 23 year old female who was vaccinated with Gardasil. Subsequently the patient experienced pain in her arm pit and shoulder one week after receiving the vaccine. The patient sought unspecified medical attention. At the time of this report, the patient''s pain in arm pit and pain in shoulder persisted. Additional information has been requested.


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