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This is VAERS ID 303298

Case Details

VAERS ID: 303298 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:2007-12-01
Onset:2007-12-01
   Days after vaccination:0
Submitted: 2008-01-22
   Days after onset:52
Entered: 2008-01-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood creatinine increased, C-reactive protein increased, Erythema, Mobility decreased, Musculoskeletal pain, Oedema, Red blood cell sedimentation rate increased, X-ray normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: X-ray ??Dec07 Normal; serum c-reactive protein ??Dec07 slightly increased; sedimentation ??Dec07 slightly increased
CDC Split Type: WAES0801USA02757

Write-up: Information has been received from a health professional concerning a female patient who in December 2007, was vaccinated IM into deltoid with a second dose of GARDASIL. No problem was encountered during injection. 48 hours after vaccination, the patient experienced pain in the shoulder. Pain worsened over a week with the occurrence of mobility impairment of the upper limb. The shoulder was described as red and oedematous on palpation. X-ray was normal, sedimentation rate and serum c-reactive protein (CRP) test were slightly increased. the patient was seen in rheumatology on 11-JAN-2008; results were awaited. The reporting physician considered the event disabling for over 6 days, repercussion on the patient''s job. The outcome was not reported. The other business partner numbers include: E2008-00196 additional information is not expected.


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