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This is VAERS ID 282770

Case Details

VAERS ID: 282770 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Tennessee  
   Days after vaccination:1
Submitted: 2007-06-21
   Days after onset:58
Entered: 2007-06-25
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Fluid retention, Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (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: ZOLOFT
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: MRI- 8MM pocket of fluid found in arm
CDC Split Type:

Write-up: Pain in arm where received Gardasil x 1 month waking up at night with arm and shoulder pain. Sent to orthopedic doctor and has MRI - found 8 mm fluid pocket in left deltoid. Go back to Ortho in 1 month.

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