National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279649

Case Details

VAERS ID: 279649 (history)  
Form: Version 1.0  
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 / 1 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
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: None
Current Illness:
Preexisting Conditions: Unknown
Allergies:
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.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279649


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166