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This is VAERS ID 357138

Case Details

VAERS ID: 357138 (history)  
Age: 13.0  
Gender: Female  
Location: Foreign  
   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

Administered by: Unknown       Purchased by: Unknown
Symptoms: Juvenile arthritis, Pain in extremity
SMQs:, Arthritis (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
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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