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This is VAERS ID 357138

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 357138
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2009-02-24
Onset:2009-02-25
Submitted:2009-09-11
Entered:2009-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0858X / 2 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain in extremity, Juvenile arthritis

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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