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This is VAERS ID 389120

Case Details

VAERS ID: 389120 (history)  
Age: 16.0  
Gender: Female  
Location: South Carolina  
Vaccinated:2009-07-08
Onset:2009-07-14
   Days after vaccination:6
Submitted: 2010-05-21
   Days after onset:311
Entered: 2010-05-24
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1131X / 0 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2907BA / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Arthralgia, Laboratory test normal, Neck pain
SMQs:, Dementia (broad), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline
Current Illness: Acne; Migraine; Dysmenorrhoea; Mid cycle pain; Drug hypersensitivity
Preexisting Conditions: Broken bones; Accident
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1005USA01579

Write-up: Information has been received from a physician concerning a 16 year old female with acne, migraine, dysmenorrhea, mid cycle pain and oxycodone allergy (it was for a broken bone sustained in an athletic incident, much prior to receiving GARDASIL) who on 08-JUL-2009 was vaccinated IM with the first dose of GARDASIL (lot# 661954/1131X). Concomitant therapy included MENACTRA and minocycline. On 14-JUL-2009 the patient began to complain of neck pain and joint pain. Neck pain and joint pain happened twice in the week following the vaccination. On 17-JUL-2009, she went to her pediatrician, who noted that there was no joint swelling, redness, nor heat. On 10-AUG-2009, she went to a pediatric rheumatologist, who stopped the minocycline (for acne), and gave an anti-inflammatory for the neck pain and joint pain. Lab and diagnostic studies were normal. She recovered during the winter of 2009 (approximately December 2009). Neck pain and joint pain were considered to be other important medical events by the rheumatologist. Neck pain and joint pain were considered to be disabling since the patient couldn''t go to school. No further information is available.


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