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This is VAERS ID 279628

Case Details

VAERS ID: 279628 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-23
Onset:2007-04-24
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:20
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia
SMQs:, Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0704USA06102

Write-up: Information has been received from a health professional concerning an approximately 16 year old female, who on 23-APR-2007 received her second vaccination with Gardasil. On 24-APR-2007 the patient experienced joint pain all over her body. The patient''s joint pain persisted and was getting worse. Date of first vaccination not reported. Additional information has been requested.


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