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From the 9/14/2018 release of VAERS data (an older release, current is 4/1/2021):

This is VAERS ID 268271

Case Details

VAERS ID: 268271 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Pennsylvania  
   Days after vaccination:10
Submitted: 2006-12-01
   Days after onset:12
Entered: 2006-12-05
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Bacterial infection, Laboratory test abnormal, Myalgia, Rash, Skin discolouration, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), 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? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Hormonal contraceptives.
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Medical panel neg, trace hemoglobin 11/20/06, rapid streptococcus positive; WBC count elevated 11/20/06.
CDC Split Type: WAES0611USA06121

Write-up: Information has been received from a physician concerning a 19 year old female with no pertinent medical history or drug reactions allergies, who on 11/9/06 was vaccinated at her OB/GYN''s office with HPV vaccine. Concomitant therapy included Zyrtec and oral hormonal contraceptives (unspecified). On 11/19/06 the pt developed a rash on the injection site arm, but not at the injections site. On 11/19/06 the pt also experienced extreme myalgia in all four extremities and her hand was discolored (purple). On 11/20/06 lab testing revealed a positive Rapid streptococcal test and the pt was placed on unspecified antibiotics. Other lab findings revealed a neg medical panel, a complete blood count revealed an elevated WBC count with a shift to the left, and a urinalysis was neg but with a trace hemoglobin. At the time of this report, the pt was recovering. The physician felt that one or more of the events were disabling. Additional information has been requested.

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