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This is VAERS ID 279985

Case Details

VAERS ID: 279985 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: California  
Vaccinated:2007-05-08
Onset:2007-05-08
   Days after vaccination:0
Submitted: 2007-05-23
   Days after onset:15
Entered: 2007-05-30
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Injected limb mobility decreased, Myalgia, Pain in extremity, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 1. Dizzy and faint immediately following immunization. Patient layed down on left side, drank juice and fully recovered within 20 minutes. 2. Pain in upper left arm started after immunization. 15 Days later pain started to get worse. No fever. No redness at site. Hurts to lift arm up. Does not feel pain to touch states "deep muscle pain", pain with arm movement. Pain level recently increased last 2 days. Home care - ice, Motrin as needed.


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