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This is VAERS ID 284176

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284176
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Myalgia, Pain in extremity, Mobility decreased, Injection site discomfort, Injected limb mobility decreased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LO/OVRAL
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type':

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 dres"s. 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


Changed on 12/8/2009

VAERS ID: 284176 Before After
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 - / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Myalgia, Pain in extremity, Mobility decreased, Injection site discomfort, Injected limb mobility decreased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LO/OVRAL
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': (blank) 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 dres"s. 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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284176&WAYBACKHISTORY=ON


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