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This is VAERS ID 262070

Case Details

VAERS ID: 262070 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Texas  
Vaccinated:2006-08-14
Onset:2006-08-22
   Days after vaccination:8
Submitted: 2006-08-24
   Days after onset:2
Entered: 2006-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient developed a fine, red rash over torso and legs with itching reported on8/22/2006.


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