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This is VAERS ID 279649

Case Details

VAERS ID: 279649 (history)  
Age: 15.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-02-23
Onset:2007-02-23
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:79
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA00037

Write-up: Initial and follow up information has been received from a registered nurse concerning a 15 year old female with no pertinent medical history who on 23-FEB-2007 was vaccinated IM in her right arm with 0.5 ml, first dose of GARDASIL vaccine (lot # 656049/0187U). There was no concomitant medications. On 23-FEB-2007 the patient experienced initial stinging that turned into muscle soreness. There were no laboratory or diagnostic tests performed. Unspecified medical attention was sought. As of 30-APR-2007, the patient''s initial stinging and muscle soreness persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Additional information not expected.


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