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This is VAERS ID 270405

Case Details

VAERS ID: 270405 (history)  
Age: 20.0  
Gender: Female  
Location: Idaho  
Vaccinated:2006-11-20
Onset:2006-12-05
   Days after vaccination:15
Submitted: 2007-01-11
   Days after onset:37
Entered: 2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Alopecia, Pruritus, Thermal burn
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (narrow), Hypersensitivity (broad), 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:
Current Illness:
Preexisting Conditions: Postpartum x 8 weeks when vaccinated
Diagnostic Lab Data:
CDC Split Type:

Write-up: States feeling like her head was burning and itching. States hair has been steadily been falling out starting 2 weeks post vaccine and continuing over the past two months.


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