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This is VAERS ID 399488

Case Details

VAERS ID: 399488 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-08-04
Entered: 2010-09-08
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Asthenia, Myalgia, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0911USA02026

Write-up: Initial and follow up information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the approximately second dose of GARDASIL (lot #, route and site of administration not reported). Subsequently, the patient developed hives, joint pain and muscle aches. The patient was having debilitating problems and now dependent on steroids. Unspecified medical attention was sought. At the time of this report, the patient''s outcome was unknown. Hives, joint pain, muscle aches and debilitating problems were considered to be disabling by the reporter. Additional information has been requested.


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