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This is VAERS ID 275604

Case Details

VAERS ID: 275604 (history)  
Age: 19.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2007-03-14
Onset:2007-03-23
   Days after vaccination:9
Submitted: 2007-04-04
   Days after onset:12
Entered: 2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 0961F / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Oral herpes
SMQs:, Oropharyngeal infections (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: cold sore sore~Vaccine not specified (no brand name)~3~~In Patient
Other Medications:
Current Illness: URI
Preexisting Conditions: non
Diagnostic Lab Data:
CDC Split Type:

Write-up: Developed a cold sore on her upper Right Vermilion after Gardasil given


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