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This is VAERS ID 275604

(NOTE: This result is from the 5/14/2017 version of the VAERS database)

Case Details

VAERS ID: 275604 (history)  
Form: Version .0  
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
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
Allergies:
Diagnostic Lab Data:
CDC Split Type:

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


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170514&IDNUMBER=275604


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