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This is VAERS ID 434628

Case Details

VAERS ID: 434628 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Hawaii  
Vaccinated:2007-09-07
Onset:2008-09-01
   Days after vaccination:360
Submitted: 2011-09-17
   Days after onset:1111
Entered: 2011-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 3 UN / UN

Administered by: Unknown       Purchased by: Private
Symptoms: Arthralgia, Palindromic rheumatism
SMQs:, Arthritis (narrow)

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: None!
Preexisting Conditions: None!
Allergies:
Diagnostic Lab Data: Facility has record of all Dr visits.
CDC Split Type:

Write-up: Started with elbow joint pain then progressed to all joint pain. Visited Drs who referred her to Rheumatologist who diagnosed Palindromic Rheumatism. Is on Pain killers daily and Hydrochloroquinnine.


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