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This is VAERS ID 283938

Case Details

VAERS ID: 283938 (history)  
Age: 17.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-17
Onset:2007-04-25
   Days after vaccination:8
Submitted: 2007-06-14
   Days after onset:50
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02258

Write-up: Information has been received from a physician concerning her 17 year old daughter who on 17-APR-2007 was vaccinated with Gardasil. On 25-APR-2007 the patient experienced pain in her upper right arm. The physician noted there was no redness or swelling in the injection site area. Subsequently, on 29-APR-2007, the patient recovered from pain in her upper right arm. Additional information has been requested.


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