Received Oct 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 2 | Z006890 | IM / LA |
Patient had fever and abdominal pain for first 24 hours after vaccine given. He also had left arm pain that radiated medially down his left arm into his left hand which started after the injection and continued for about 2 weeks. Pain was described as 7/10 and was continuous during the day for 9-10 days. Patient doubled over in pain at times due to the severity of pain. Patient was awakened at least once at night for 10-20 minutes due to the pain for first 9 days. On day 9 exam, patient had pain at the injection site in the left deltoid. There was no redness or swelling. He had normal rotation of shoulder, elbow and wrist with normal UE neuro exam. He started frequent ibuprofen. The pain gradually improved over the next 3-5 days. At 20 days post vaccination, he had no remaining symptoms from the vaccine injection.
None
Recurrent abdominal pain, cyclic vomiting, abdominal migraines, allergic rhinitis
None
pollen allergy
none.