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This is VAERS ID 374963

Case Details

VAERS ID: 374963 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-05-14
Onset:2009-07-10
   Days after vaccination:788
Submitted: 2009-12-24
   Days after onset:167
Entered: 2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 2 RA / IM

Administered by: Unknown       Purchased by: Other
Symptoms: Arthralgia, Musculoskeletal pain, Rheumatoid arthritis, Rheumatoid factor positive
SMQs:, Rhabdomyolysis/myopathy (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC Split Type:

Write-up: Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


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