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This is VAERS ID 357138

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

357138
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': 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.


Changed on 9/14/2017

357138 Before After
VAERS Form:(blank) 1
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 3 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': 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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=357138&WAYBACKHISTORY=ON


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