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This is VAERS ID 374332

Case Details

VAERS ID: 374332 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:21
Submitted: 2009-12-18
   Days after onset:195
Entered: 2009-12-21
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Arthritis, Bone scan abnormal, Nuclear magnetic resonance imaging abnormal, Psoriatic arthropathy, Wheelchair user
SMQs:, Systemic lupus erythematosus (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Osteonecrosis (broad), Arthritis (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Magnetic resonance, diagnosed with psoriatic arthritis; bone scan, diagnosed with psoriatic arthritis
CDC Split Type: WAES0912USA01612

Write-up: Information has been received from a physician concerning her 12 year old daughter who on 05-MAR-2009 was vaccinated IM with the first 0.5 ml dose of GARDASIL (lot # unknown) and concomitantly received (DTaP) (manufacturer not reported). On 16-MAY-2009, the patient received the second dose of GARDASIL (lot # unknown) with no concomitant vaccinations administered at that time. On 19-SEP-2009, the patient received the third dose of GARDASIL (lot # unknown) with no concomitant vaccinations administered at that time. Three weeks after the patient''s second dose of GARDASIL on approximately 06-JUN-2009, she developed chronic arthritis and was seen by an orthopedist (name of orthopedist not reported) for arthritis-type symptoms. The patient was placed on MOTRIN. The patient developed psoriatic arthritis and initially needed a wheelchair. The patient was seen by a rheumatologist affiliated with a hospital. The patient had an MRI and a bone scan and was diagnosed with psoriatic arthritis. The patient was placed on sulfasalazine and therapy with prednisone for six weeks. The patient was not hospitalized. Within 2 days after starting the medications the patient''s symptoms had resolved. The patient was back to her normal activities. The rheumatologist was definitely related to GARDASIL and the physician thought her daughter''s arthritis was related to receiving GARDASIL. Psoriatic arthritis was considered to be disabling by the physician. The Health Care professional contacted during telephone follow-up could not supply the following information: lot number. No further information is available at this time. Additional information has been requested.

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