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This is VAERS ID 288903

Case Details

VAERS ID: 288903 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-07-24
Onset:2007-07-24
   Days after vaccination:0
Submitted: 2007-08-23
   Days after onset:30
Entered: 2007-08-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Breast pain, Chest pain, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Lipodystrophy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA03670

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month now and has traveled into her breast and chest area. The patient''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has been requested.


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