This is VAERS ID 270271
| Days after submission:||4
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||- / -
||UN / -
Administered by: Other Purchased by: Other
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? No
Other Medications: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES012USA03878
Write-up: Information has been received from a physician concerning a patient who was vaccinated with a dose of HPV Vaccine and developed rash and pruritus. The patient''s outcome was unknown. Additional information had been requested.
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