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This is VAERS ID 274576

Case Details

VAERS ID: 274576 (history)  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-14
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03949

Write-up: Information has been received from a nurse concerning an 18 year old female who, on an unspecified date, was vaccinated intramuscularly with a first dose of HPV. Subsequently, on an unspecified date, the patient developed a rash. The patient did not seek medical attention. Subsequently, on an unspecified date, the patient recovered. No product quality complaint was involved. Additional information is not expected.


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