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This is VAERS ID 274715

Case Details

VAERS ID: 274715 (history)  
Age: 19.0  
Gender: Female  
Location: New York  
Vaccinated:2007-01-16
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. - / - - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Blood test, Erythema, Laboratory test, Rash generalised, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory, routine blood work
CDC Split Type: WAES0702USA04529

Write-up: Information has been received from a physician concerning a 19 year old female who on 14-NOV-2007 and 16-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV. On 16-JAN-2007, concomitant therapy included a second dose of varicella. Subsequently, on an unspecified date, the patient developed a generalized body rash (20-30 lesions) which were macular papules/erythema and were mainly on the upper extremities and some on the abdomen. There were none on the hands or feet or in the mouth. The patient did not have a temperature or lymph swelling. The papules/erythema were non-painful and not itchy. The physician stated that it did not present like chicken-pox. Routine blood work was performed (results not provided). At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested.


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