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This is VAERS ID 329702

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

329702
VAERS Form:
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2008-07-28
Onset:2008-08-01
Submitted:2008-10-14
Entered:2008-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA03531

Write-up:Information has been received from a physician (also reported as medical assistant) concerning a 16 year old female with no known allergies or medical history, who on 28-JUL-2008 was vaccinated with a first, 0.5 mL dose of GARDASIL (LOT# 659964/1978U), intramuscular. There was no concomitant medication. Five or four days later the patient experienced joint pain. The patient is a golfer and indicated that her joints are so painful at the end of a golf game that she has to rest for the reminder of the time. At the time of the report, the patient had not recovered. She mentioned that she tried ice and BIO-FREE, but only ADVIL made it tolerable. The patient sought medical attention, she was seen. The patient''s joint pain was considered to be disabling. Additional information has been requested.


Changed on 9/14/2017

329702 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2008-07-28
Onset:2008-08-01
Submitted:2008-10-14
Entered:2008-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA03531

Write-up:Information has been received from a physician (also reported as medical assistant) concerning a 16 year old female with no known allergies or medical history, who on 28-JUL-2008 was vaccinated with a first, 0.5 mL dose of GARDASIL (LOT# 659964/1978U), intramuscular. There was no concomitant medication. Five or four days later the patient experienced joint pain. The patient is a golfer and indicated that her joints are so painful at the end of a golf game that she has to rest for the reminder of the time. At the time of the report, the patient had not recovered. She mentioned that she tried ice and BIO-FREE, but only ADVIL made it tolerable. The patient sought medical attention, she was seen. The patient''s joint pain was considered to be disabling. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=329702&WAYBACKHISTORY=ON


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