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This is VAERS ID 283776

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283776
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Pain in extremity, Injected limb mobility decreased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA01287

Write-up:Information has been received concerning a 21 year old female with penicillin allergy who was vaccinated with Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). Subsequently the patient experienced pain in the arm she was administered Gardasil. The pain radiated up her shoulder an into her back. She was not able to lift her arm without pain. She tried using a heating pad and an ice pack but neither helped. Additional information has been requested.


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