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This is VAERS ID 272352

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 272352 (history)  
Form: Version .0  
Age: 26.0  
Gender: Female  
Location: Washington  
Vaccinated:2007-01-15
Onset:2007-01-15
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:30
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: corticosteroids, hormonal contraceptives
Current Illness:
Preexisting Conditions: drug hypersensitivity
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Information has been received from a 26 year old female with a drug hypersensitivity to tetracycline, prochlorperazine maleate (COMPAZINE) and doxycycline and no other pertinent medical history reported. On 15-JAN-2007, the patient was vaccinated intramus"cularly with HPV rL1 6 12 16 18 VLP vaccine (yeast). Concomitant therapy included a /"steroid shot/" and unspecified hormonal contraceptives. On 15-JAN-2007, the patient developed a terrible rash. The patient sought unspecified medical attention. At the


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