This is VAERS ID 275373
| Days after vaccination:||2
| Days after onset:||6
| Days after submission:||3
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||0244U / 1
||LA / IM
Administered by: Private Purchased by: Private
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Other Medications: Albuterol inhaler, Prevacid
Current Illness: on 3/22/07 for epistaxis S/P trauma nose
Preexisting Conditions: Allergy Codeine (GI upset), HX GERD and exercise induced asthma.
Diagnostic Lab Data: None
CDC Split Type: CT200705
Write-up: Pt seen at office on 3/26/07 c/o itchy rash to face. Reports XS began 2 days previously. Seen by DR noted macular rash face and neck and ordered Benadryl, Prn.
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