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 / 0
||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
Permanent Disability? No
ER or Doctor Visit? Yes
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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