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This is VAERS ID 357138

Case Details

VAERS ID: 357138 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Foreign  
Vaccinated:2009-02-24
Onset:2009-02-25
   Days after vaccination:1
Submitted: 2009-09-11
   Days after onset:197
Entered: 2009-09-14
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0858X / 3 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Juvenile arthritis, Pain in extremity
SMQs:, Arthritis (narrow), Tendinopathies and ligament disorders (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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0909CAN00001

Write-up: Information has been received from the parent of a 13 year old female who on 24-FEB-2009 was vaccinated with the third dose of GARDASIL, lot# 0858X, intramuscular in left deltoid. There was no concomitant medication. On 25-FEB-2009, the next morning, the patient''s hands and feet hurt. The patient started ADVIL and naproxen. In approximately March 2009 (within 4 weeks), the patient experienced full-on juvenile arthritis, polyarticular. The patient was seen at the hospital. She is now on prednisone and methotrexate. Full-on juvenile arthritis, polyarticular was considered to be disabling. No further information is available.


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