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This is VAERS ID 272631

Case Details

VAERS ID: 272631 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-01-30
Onset:2007-01-31
   Days after vaccination:1
Submitted: 2007-02-14
   Days after onset:14
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: 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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptive
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA00321

Write-up: Information has been received from a registered nurse concerning a female (age not reported) who on 30-JAN-2007 was vaccinated with the second 0.5 mL dose of HPV vaccine. Concomitant therapy included unspecified hormonal contraceptives. On 31-JAN-2007, the patient developed a rash under skin that covered entire body except her legs. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the event. The nurse did mention that the patient "did not have a reaction to the first injection of HPV vaccine. Additional information has been requested.


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