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This is VAERS ID 322817

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 322817
Age:15.0
Gender:Female
Location:Foreign
Vaccinated:2008-04-23
Onset:2008-04-23
Submitted:2008-08-20
Entered:2008-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1949U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808AUS00146

Write-up:Information was obtained on request by the Company from the agency via a Case Line Listing and a Public Case Detail Form concerning a 15 year old female who on 23-APR-2008 was vaccinated with the first dose of GARDASIL (Batch # K0532, Expiry date 12-JUN-2010, Lot # 659053/1949U). On 23-APR-2008, 6 hours after vaccination with GARDASIL, the patient experienced chest pain. It was described as thoracic pain that has failed to settle to date. At the time of reporting to the agency on 14-MAY-2008 the patient had not yet recovered from the chest pain. The agency considered that chest pain was possibly related to therapy with GARDASIL. The original reporting source was not provided. Chest pain was considered to be disabling by the reporting agency. Additional information is not expected.


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