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This is VAERS ID 288761

Case Details

VAERS ID: 288761 (history)  
Form: Version 1.0  
Age: 24.0  
Sex: Female  
Location: Virginia  
Vaccinated:2007-05-29
Onset:2007-05-29
   Days after vaccination:0
Submitted: 2007-08-22
   Days after onset:85
Entered: 2007-08-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK LA / UN

Administered by: Other       Purchased by: Other
Symptoms: Drug administered at inappropriate site, Incorrect dose administered, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol; antimicrobial (unspecified); YASMIN; phentermine hydrochloride 37.5 mL
Current Illness: Obesity; Hypersensitivity; Asthma
Preexisting Conditions: Headache
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA01863

Write-up: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant therapy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a "vursar sac" in the patient''s left arm. Subsequently, the patient developed arm pain. The patient was going to physical therapy and is seeing an orthopedic doctor. At the time of the report the patient had not recovered. The reporting physician considered arm pain to be disabling. Additional information has been requested.


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