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This is VAERS ID 284176

Case Details

VAERS ID: 284176 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:56
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 1 - / -

Administered by: Private       Purchased by: Other
Symptoms: Injected limb mobility decreased, Injection site discomfort, Mobility decreased, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (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:
Other Medications: LO/OVRAL
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA04020

Write-up: Information has been received from a nurse concerning a 21 year old female who on 19-APR-2007 was vaccinated with Gardasil (Lot#657622/0388U). On 19-APR-2007 the patient experienced deep muscle pain, her arm still hurts and she cannot lift her arm to dress. It was reported that the patient sought unspecified medical attention. No further details were provided. Follow up information provided by a medical professional stated that on 02-MAY-2007 the patient had daily discomfort only in her deltoid where the injection had been given. At the time of this report it was reported that the patient had not recovered from the discomfort. Additional information has been requested.

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