This is VAERS ID 274299
| Days after submission:||2
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||- / -
||- / IM
Administered by: Other Purchased by: Other
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? No
Other Medications: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA03496
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil (yeast). Subsequently the patient experience rash on back. Additional information has been requested.
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