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This is VAERS ID 274136

Case Details

VAERS ID: 274136 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-03-13
Onset:2007-03-14
   Days after vaccination:1
Submitted: 2007-03-16
   Days after onset:2
Entered: 2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 02434 / 1 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Blister, Pain
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Blister, area looks burned. Pain at blistered site. Appears to be lower than site of injection. Patient denies other injury. Treated with tylenol #3 and omnicef. Will follow up with doctor next week.


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