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This is VAERS ID 266717

Case Details

VAERS ID: 266717 (history)  
Form: Version 1.0  
Age: 37.0  
Gender: Female  
Location: Illinois  
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2006-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OVCON
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Developed rash all over body gradually subsided after few days.

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