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This is VAERS ID 270266

Case Details

VAERS ID: 270266 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-01-05
Entered: 2007-01-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Rash generalised
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0612USA01254

Write-up: Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of HPV Vaccine (Lot not provided) Subsequently, the day after she was vaccainted the patient developed a sort of rash all over her body. The physician recommended that the patient treat the rash with Benadryl, which the patient did. subsequently, the rash resolved and no additional treatment was needed. Additional information has been requested.


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