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This is VAERS ID 267319

Case Details

VAERS ID: 267319 (history)  
Age: 19.0  
Gender: Female  
Location: Georgia  
Vaccinated:2006-09-29
Onset:2006-10-08
   Days after vaccination:9
Submitted: 2006-11-09
   Days after onset:32
Entered: 2006-11-20
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Pruritus, Rash
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: Biopsy done on 11/9/06.
CDC Split Type:

Write-up: Pruritus - rash began on lower extremities 1.5 weeks following the first vaccine for HPV. The rash then spread to trunk, back and arms over the next week. Rash began as singular lesions which coalesced it places.


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