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This is VAERS ID 272629

Case Details

VAERS ID: 272629 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: California  
   Days after vaccination:2
Submitted: 2007-02-14
   Days after onset:31
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655619/1427F / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Rash, Skin lesion
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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE; Unknown
CDC Split Type: WAES0702USA00304

Write-up: This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a physician concerning a 25 year old female who on 12-JAN-2007 was vaccinated IM in the right deltoid, with a first 0.5 ml dose of HPV vaccine (lot#655619/1427F). There was no concomitant medication. On 14-JAN-2007 the patient developed raised erythematous papules with tenderness (previously described as skin eruptions, lesions), on the axilla of the right arm. It was reported that the patient was treated with Benadryl. The patient reported the patient''s lesions continued for two weeks and were worsening. At the time of the report, the patient had not recovered. Additional information has been requested. Follow up information indicated that labs (not specified) had been obtained and the results had not yet been received. The physician indicated the outcome of the erythematous and tender papules was unknown. Additional information has been requested.

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