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This is VAERS ID 263227

(NOTE: This result is from the 12/30/2006 version of the VAERS database)

Case Details

VAERS ID: 263227 (history)  
Form: Version .0  
Age: 20.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2006-08-07
Onset:2006-08-07
   Days after vaccination:0
Submitted: 2006-09-14
   Days after onset:38
Entered: 2006-09-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Information has been received from a 20 year old female patient who on 07-AUG-2006 was vaccinated intramuscularly with her first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702F). Concomitant therapy included drospirenone (+) ethinyl estr"adiol (YAZ). The patient stated that /"right after getting the shot/" she experienced pain in the upper arm on and off throughout the day. She also stated that the pain/"feels like she has a knife in her arm/". Unspecified medical attention was sought.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=263227


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