This is VAERS ID 263612
| Days after vaccination:||7
| Days after onset:||17
| Days after submission:||1
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||0637F / 0
||LA / IM
Administered by: Other Purchased by: Private
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? Yes
Other Medications: Singular, Zyrtec
Current Illness: NONE
Preexisting Conditions: Seasonal allergic rhinitis.
Diagnostic Lab Data: NONE
CDC Split Type:
Write-up: Raised erythematous patchy rash of left shoulder (Behind left deltoid muscle) with slight vesicles. Also similar linear rash on left leg (appearance of delayed hypersensitivity) rash began 1 week after injection.
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