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This is VAERS ID 376847

(NOTE: This result is from the 6/14/2014 version of the VAERS database)

Case Details

VAERS ID: 376847 (history)  
Form: Version .0  
Age:   
Gender: Female  
Location: Maryland  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-01-13
Entered: 2010-01-14
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0070X / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Arthralgia, Arthropathy, Chest X-ray normal, Haematology test normal, Headache, Hypoaesthesia, Myalgia, Rheumatoid factor negative
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematology, "blood work" was normal
CDC Split Type: WAES1001USA00365

Write-up: Information has been received from a physician concerning a female patient with no pertinent medical history and no known allergies who on an unknown date was vaccinated with a second dose of GARDASIL (Lot # not reported). Concomitant therapy included isoniazid, 2 months prior to getting first dose of GARDASIL, had been on isoniazid for 4 months total. A few days after receiving the second dose of GARDASIL, the patient experienced diffused muscle pain, arthralgia, knees hurt, difficulty with joints and had headaches. The physician believed significant disability because the patient "could not function anymore and not getting out of the house". The physician also mentioned that the patient did not have any problems after the first dose of GARDASIL. The patient sought medical attention by an office visit. A "blood work" test was performed which was normal. At the time of the report, the outcome of the patient was not recovered. The health care professional contacted during telephone follow-up could not supply the following information: dates of vaccination, lot numbers and date of event. No further information is available.


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