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This is VAERS ID 271156

Case Details

VAERS ID: 271156 (history)  
Age: 26.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-27
Onset:2006-12-30
   Days after vaccination:3
Submitted: 2007-01-16
   Days after onset:17
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Contusion, Rash
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA00040

Write-up: Information has been received from a 26 year old female pharmacist who on 27 Dec 2006 was vaccinated with a 0.5 mL dose of Gardasil. On 30 Dec 2006, the patient developed bumps on skin, located mainly on the back, sporadic on the chest, 5-6 noted, and also on belly: none on legs. The pharmacist reported that they were painful and "felt like bruises," The patient''s outcome was unknown. Additional information has been requested.


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