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This is VAERS ID 270548

Case Details

VAERS ID: 270548 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2006-11-22
Onset:2006-11-26
   Days after vaccination:4
Submitted: 2007-01-08
   Days after onset:43
Entered: 2007-01-16
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2241AA / 3 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Pruritus, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Four days following the Gardasil vaccine, the patient developed a rash all over her body that was itchy and skin colored. It seemed to be worse on the arm of injections site. The patient received an antihistamine and cortisone creme.


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