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This is VAERS ID 284173

Case Details

VAERS ID: 284173 (history)  
Form: Version 1.0  
Age: 34.0  
Gender: Female  
Location: Indiana  
   Days after vaccination:47
Submitted: 2007-06-14
   Days after onset:24
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site reaction, Myalgia
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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Current Illness: Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA03949

Write-up: Information has been received from an approximately 34 year old female with an allergy to artificial sweeteners who on an unspecified dates, was vaccinated with the first and second doses of Gardasil. The date that therapy was started was "about 6 months prior to receiving the third dose. On 04-APR-2007, the patient was vaccinated with the third dose of vaccine by injection. Concomitant therapy included Yasmin. On an unspecified date, the patient experienced muscle soreness after being vaccinated. On 21-MAY-2007, all three injection sites became visible. The patient thought it might be due to being out in the sun and being involved in physical activity. She sought unspecified medical attention. At the time of reporting, the patient was recovering. No further information was provided. Additional information has been requested.

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