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This is VAERS ID 266592

Case Details

VAERS ID: 266592 (history)  
Age: 11.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2006-10-31
Onset:2006-11-01
   Days after vaccination:1
Submitted: 2006-11-06
   Days after onset:5
Entered: 2006-11-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2199AA / 4 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B011CA / 5 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Rash, Rash papular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Fine red, papular, pruritic rash on 1st and 2nd digits both hands and dorsum both feet.


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