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This is VAERS ID 373657

Case Details

VAERS ID: 373657 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:2009-06-01
Onset:2009-06-01
   Days after vaccination:0
Submitted: 2009-12-15
   Days after onset:197
Entered: 2009-12-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. NK41620 / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Disability, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0912RUS00002

Write-up: Information has been received from a physician concerning a female who in June 2009, was vaccinated with GARDASIL. In June 2009, the patient experienced arm pain. In September 2009, the patient recovered from arm pain. The reporter felt that arm pain was related to therapy with GARDASIL. Arm pain was considered to be disabling. No further information is available.


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