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This is VAERS ID 275604

Case Details

VAERS ID:275604 (history)  Vaccinated:2007-03-14
Age:19.0  Onset:2007-03-23, Days after vaccination: 9
Gender:Female  Submitted:2007-04-04, Days after onset: 12
Location:Minnesota  Entered:2007-04-04
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~3~~In Patient
Other Medications:
Current Illness: URI
Preexisting Conditions: non
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER0961F1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Oral herpes
SMQs:, Oropharyngeal infections (narrow)
Write-up: Developed a cold sore on her upper Right Vermilion after Gardasil given

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