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This is VAERS ID 321507

Case Details

VAERS ID: 321507 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted: 2008-08-06
   Days after onset:36
Entered: 2008-08-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Injection site swelling, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0807USA05324

Write-up: Information has been received from a physician concerning a female who received the three doses of GARDASIL. Recently in July 2008, the patient had soft tissue pain and swelling over the injection site which has persisted since the third injection. The patient complained of pain when raising her arm. The patient was referred to physical therapy. Soft tissue pain and swelling over the injection site and pain when raising her arm, were considered to be disabling. Additional information has been requested.


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