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This is VAERS ID 333630

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 333630
Age:16.0
Gender:Female
Location:New York
Vaccinated:2008-11-05
Onset:2008-11-21
Submitted:2008-12-01
Entered:2008-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1486U / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Arthralgia, Gait disturbance, Rash, Urticaria

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 16 year old female patient who on 05-NOV-2008 was vaccinated with the second dose of GARDASIL (lot# 659655/1486U). Concomitant therapy included VARIVAX and ADACEL. On 21-NOV-2008 the patient deve"loped rash, hives, urticaria and generalized joint pain in her knees, elbows and ankles, but she had no fever. The patient was instructed to take TYLENOL for the pain and she was referred to an urgent care physician who instructed the patient to take BENA


Changed on 12/8/2009

VAERS ID: 333630 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2008-11-05
Onset:2008-11-21
Submitted:2008-12-01
Entered:2008-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1486U / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia, Gait disturbance, Rash, Urticaria

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0811USA04010

Write-up:Information has been received from a physician concerning a 16 year old female patient who on 05-NOV-2008 was vaccinated with the second dose of GARDASIL (lot# 659655/1486U). Concomitant therapy included VARIVAX and ADACEL. On 21-NOV-2008 the patient deve"loped developed rash, hives, urticaria and generalized joint pain in her knees, elbows and ankles, but she had no fever. The patient was instructed to take TYLENOL for the pain and she was referred to an urgent care physician who instructed the patient to take BENA BENADRYL. On unspecified date lab tests were performed, but specifics are unspecified. As of 24-NOV-2008 the patient had not recovered. The physician considered the patient''s experience to be disabling because "it was hard for the patient to walk". Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=333630&WAYBACKHISTORY=ON


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